| NPI | 1528503869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA KEREKES Lmt / Owner 254-289-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: TX MT108167) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |