| NPI | 1659448355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY GREISEN CEO 972-317-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 116170) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-12-03 |