| NPI | 1801370184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M ENNIS Owner 214-236-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |