| NPI | 1235643149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTE VAN EEDEN CEO 817-571-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX G0723) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |