| NPI | 1770960734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LEIGH ADAMS Manager 972-800-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 36516) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-06-01 |