| NPI | 1447972864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN OLEATH HAYES Physician 469-427-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |