| NPI | 1639526148 |
|---|---|
| Doing Business As | THE BACKYARD |
| Entity Type | Organization |
| Authorized Contact | TRAVIS C MEADORS COO/Shareholder 210-760-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |