| NPI | 1003307380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEADRA HICKS Director 469-400-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X Meals |
| 311500000X Alzheimer Center (Dementia Center) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-06-16 |