| NPI | 1366628331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RAYMOND TAFT Clinical Psychologist &Manager 903-872-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2024-07-06 |