| NPI | 1598927303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BETTE HARVEY Partner 817-805-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32781) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TX 32781) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2009-10-12 |