| NPI | 1063219855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN BOOKER Member 469-682-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 291U00000X Clinical Medical Laboratory | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care Respite Care Camp | |
| 292200000X Dental Laboratory | |
| 293D00000X Physiological Laboratory | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 291900000X Military Clinical Medical Laboratory | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |