| NPI | 1801986542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMPSON Executive Director 254-752-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 2007020591) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-04-07 |