| NPI | 1972789832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE SHELTON CEO & Owner 817-548-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G5606) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |