| NPI | 1558502773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS G OPALACH Owner 817-453-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX L8870) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-10-15 |