| NPI | 1528230422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA JOHNSON COO 361-806-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0200X Clinic/Center, Radiology | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2016-11-10 |