| NPI | 1396069043 |
|---|---|
| Other Name | W.I.A.C.T. |
| Entity Type | Organization |
| Authorized Contact | MOISES AARON URIBE Owner 214-255-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |