NPI | 1972043669 |
---|---|
Doing Business As | IN HIS IMAGE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | CAROL LIESER Owner/Psych Mental Health Nurse Pra 817-914-4168 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: 462622/AP108300) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2017-03-01 |