| NPI | 1932570959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER G WEAVER Clinical Director 409-813-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36418) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2021-03-15 |