| NPI | 1194954248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L VARDELL Program Manager 903-868-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: TX None) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |