| NPI | 1922317858 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | NICOLE M MANGUM Psychologist 214-361-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33427) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2024-10-18 |