| NPI | 1639245962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JEFFREY WILLIAMS Managing Member 214-927-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32192) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |