| NPI | 1659041093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVID IDELL Psychiatrist 972-709-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |