| NPI | 1275023590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE MBOCHI Manager 817-908-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |