| NPI | 1659984854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FRANCES BERGEN Licensed Psychologist, Owner 817-723-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-10-10 |