| NPI | 1720118771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L. BRYAN President 915-598-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-1632) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |