NPI | 1396506010 |
---|---|
Former Legal Business Name | GIRLS TO WOMEN/YOUNG MEN'S HEALTH AND WELLNESS FORT WORTH |
Entity Type | Organization |
Authorized Contact | CAROLYN PARCELLS Owner 832-865-8371 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-19 |