| NPI | 1932618154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEISHA SCOTT SCOTT Director Of Behavioral Medicine 817-706-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |