| NPI | 1972736916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MANUEL PITA President 972-765-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 24790) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2014-09-23 |