NPI | 1043204530 |
---|---|
Doing Business As | MYTOIA MOSS |
Entity Type | Organization |
Authorized Contact | MYTOIA MOSS Owner/Program Director 832-876-1360 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: TX 001007771) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2020-08-22 |