| NPI | 1831557636 |
|---|---|
| Doing Business As | MADELINE WEND |
| Entity Type | Organization |
| Authorized Contact | MADELINE MARIE WEND Clinical Director/Owner 817-301-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 72380) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |