| NPI | 1215019153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MICHELLE POLLARD Team Lead 214-333-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TX 11232) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: TX 003452-04525) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |