| 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 |