| NPI | 1336426568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR JOSEPH BENITEZ Clinical Psychologist 817-228-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60251767) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |