| NPI | 1588906341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLASS Dr/Owner 936-634-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX G1593) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |