| NPI | 1598141038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MUTABARUKA Manager 469-247-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2023-11-03 |