| NPI | 1679797021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK J GONZALEZ President 972-727-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 31529) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |