| NPI | 1861038804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BENFORD Director 972-768-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-10-14 |