| NPI | 1447544812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD J. GOTWAY President / Owner 972-918-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 22116) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |