| NPI | 1235458662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA NGOZI IWUOHA Admin/ Owner 972-261-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2022-07-19 |