Life Gate Church INC
NPI #1013289149 in Haslet, Texas
Provider Information
- NPI Number
- 1013289149
- Entity Type
- Organization
- Organization Name
- Life Gate Church INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 6, 2012
- Last Updated
- Apr 4, 2012
Practice Location
Authorized Official
- Name
- CHARLES C BORSELLINO, MD
- Title
- MANAGER
- Phone
- (817) 966-9310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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