| NPI | 1568288926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MITCHELL Directoe 469-833-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QG0250X Clinic/Center, Genetics |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |