| NPI | 1316551906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M WILLIAM Executive Director 682-248-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |