| NPI | 1710462932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD BELLAH Owner 972-542-5980 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |