| NPI | 1942572573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SHOGREN President 972-392-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G6454) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |