| NPI | 1669195202 |
|---|---|
| Former Legal Business Name | INTELLECT PSYCHIATRY SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | ETIENNE CLEMENT POUFONG Pmhnp 469-321-9543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-07-31 |