| NPI | 1790178390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA KAZAKEVICH Owner 832-384-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P0742) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-02-21 |