NPI | 1366529711 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J HASSELTINE Psychiatrist 325-573-0041 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX K2034) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |