| NPI | 1750633368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A OLUFUWA Director 682-203-7563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |