| NPI | 1801198668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT GRANT Sole Proprietor 903-244-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33249) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |