| NPI | 1821409798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M HENEGHAN Member 830-515-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX N3725) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |