| NPI | 1316551906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M WILLIAM Executive Director 682-786-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-09-03 |