| NPI | 1639447113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVIDSON CEO 972-251-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36018) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36019) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |