| NPI | 1467599779 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HAROLD H LECRONE Executive Director 254-776-0400  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 103T00000X Psychologist | |
| Enumeration Date | 2007-01-30 | 
| Last Update Date | 2011-01-05 |