| NPI | 1720956964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAM REDD Owner 972-472-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |