| NPI | 1225428113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKETTE PLUMMER Owner/Program Director 214-524-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |