| NPI | 1194912352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE MARIE BENSON Consultant 817-881-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 001536) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |