NPI | 1134820921 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA LLUVICELA ESCAMILLA Service Coordinator 214-709-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-03-17 |