| NPI | 1770016909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DENNINGTON Cmo 214-208-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M7942) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-02-13 |