| NPI | 1639998453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA MOAZAM CEO 915-777-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-04-09 |