| NPI | 1629951322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M SCHLUETER President/Provider 682-312-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |