| NPI | 1669183265 |
|---|---|
| Doing Business As | LETOT SHELTER |
| Entity Type | Organization |
| Authorized Contact | FREDERICK CERISE President & CEO 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-07 |