| NPI | 1124449913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE ROBINSON Credentialing COO Rdinator 469-385-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TX 115602) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |