| NPI | 1942777602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BATTLE Owner 817-983-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2021-07-13 |