| NPI | 1518635465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SINCLAIR Director Of Operations 469-680-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TF0000X Psychologist Family | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |