NPI | 1447534565 |
---|---|
Other Name | JCCTA |
Entity Type | Organization |
Authorized Contact | JESSICA O JONES Owner 817-453-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 34993) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2014-12-05 |