| NPI | 1790832749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROKH SAFARIMARYAKI Owner 903-297-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-09-19 |