| NPI | 1366033912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RINEHART Credentialing Specialist 972-640-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2026-07-08 |