| NPI | 1285094466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE C WATERS Owner 254-774-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 21344) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |