| NPI | 1649950296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JOHNSON President/COO 214-298-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261Q00000X | |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-05-27 |