NPI | 1699914846 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LANE BROWN Owner 903-295-8990 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX H8911) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2009-02-11 |