| NPI | 1518569524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE R BRENNER Licensed Psychologist 682-235-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2021-04-12 |