| NPI | 1508221292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BARRERA Office Manager 972-255-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA 29645) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |