| NPI | 1760481709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WINTER Office Manager 940-322-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-07-21 |