NPI | 1124552013 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE KELSO-WASHINGTON Founder, President CEO 817-520-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX ME3335) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2017-04-18 |