| NPI | 1356021380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAUR GASANOV Administrator 469-250-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |