NPI | 1396895504 |
---|---|
Doing Business As | DIVERSITY DAY ACTIVITY SUGAR LAND |
Entity Type | Organization |
Authorized Contact | MARVELLA YVONNE GREEN Owner 713-365-0429 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-22 |