| 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 |