| NPI | 1972177954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT SKINNER Clinical Psychologist 214-536-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |