| NPI | 1952707556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILSON RENFROE Owner 903-630-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 24047) |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2015-11-23 |