| NPI | 1841063856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY QUAKENSBUSH Physician Owner 940-277-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |