| NPI | 1376731836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DUNHAM Operations Manager 254-772-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 120555) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |