| NPI | 1124421938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN ARATA Owner 915-755-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TX 106068) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-01-18 |