| NPI | 1891461679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADON WEBB Administrative Director 214-629-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-09-21 |