| NPI | 1588686349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERIT B. JOHNSON President 214-215-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32099) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-11-22 |