| NPI | 1386480226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE AGUIRRE Director Of Operations 979-219-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-09-06 |