| NPI | 1669530382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SMITH Executive Director 432-522-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TX 116776) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |