| NPI | 1639632920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER JOCHEM CEO 972-382-9992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 207Q00000X Family Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |