| NPI | 1255141958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DAVIS Owner 940-631-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251B00000X Case Management |
| 251T00000X PACE Provider Organization | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |