| NPI | 1548861701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE AKEEM PRINCE Owner 832-707-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |