NPI | 1659012839 |
---|---|
Former Legal Business Name | THE CENTER FOR CHILD AND FAMILY PSYCHIATRY, PC |
Entity Type | Organization |
Authorized Contact | ANDREY SHALOMOV President 254-774-1163 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-08-15 |