| NPI | 1013219617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES N STURGEON Administrator 817-459-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 111NN1001X Chiropractor, Nutrition | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251S00000X | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2015-03-03 |