| NPI | 1275159238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA BLAUVELT Clinical Psychologist 214-566-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-12-06 |