| NPI | 1801304282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE H. VERRONE Director/ Chief Officer 806-781-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 26862) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |