| NPI | 1780095869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES CEASAR PERRY Director 817-419-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX A214005733) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |