NPI | 1538873294 |
---|---|
Doing Business As | PRIMEKIDS THERAPY |
Entity Type | Organization |
Authorized Contact | LYNDA DICKERSON Provider Enrollment 713-665-8655 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-01-09 |
Last Update Date | 2025-01-01 |