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 |