| NPI | 1962643783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT RUSCELLI President 281-338-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 21088) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |