| NPI | 1154564433 |
|---|---|
| Other Name | MANDY HAWLEY |
| Entity Type | Organization |
| Authorized Contact | MANDY M HAWLEY Owner 731-796-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |