| NPI | 1508670951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE QUITERIO Authorized Official 972-755-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |