| NPI | 1629723606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILSON General Manager 956-668-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |