| NPI | 1356522288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET G BENTZ Owner 817-988-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 31579) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2014-04-29 |