| NPI | 1447025424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KALUZA Executive Director 254-495-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |