| NPI | 1427193630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALDRIDGE Office Manager 325-659-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |