| NPI | 1841506789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W CRUMPACKER Owner 972-403-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: TX J8977) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |