| NPI | 1720174667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BOYD DAVIS Executive Director 254-752-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VI 24178) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |