| NPI | 1356537377 |
|---|---|
| Other Name | AZLEWAY BOYS RANCH |
| Entity Type | Organization |
| Authorized Contact | STEVEN BOOKER CFO 903-566-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 622680-01) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-10-09 |