| NPI | 1801153119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM I KRACKE Owner 806-374-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX D3303) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |