| NPI | 1467232033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY DAVID CENTER Chief Science & Technology Officer 817-295-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2472E0500X | |
| 261QH0100X Clinic/Center, Health Services | |
| 305S00000X Point of Service | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-11-16 |