| NPI | 1811131758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD B EUDALY Owner 817-763-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX C6930) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |