| NPI | 1356846729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RUSSELL Manager/Lead Psychiatrist 817-726-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q6697) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |