| NPI | 1477258085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKET KANDANALA Chief Operating Officer 469-964-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-04 |