| NPI | 1659079689 |
|---|---|
| Doing Business As | PREP 360 ATHLETICS |
| Entity Type | Organization |
| Authorized Contact | DWAN EPPS Executive Director 832-871-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 347C00000X Private Vehicle | |
| 251X00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 133N00000X Nutritionist | |
| 174200000X Meals | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |