NPI | 1619508025 |
---|---|
Doing Business As | THE SPECIAL NEEDS ACTIVITY CENTER |
Entity Type | Organization |
Authorized Contact | ERIC L FULLER Executive Director 469-216-5269 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X |
Additional Taxonomies | 347E00000X Transportation Broker |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QM0801X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
305S00000X Point of Service | |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-02-04 |