| NPI | 1811350721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WAYNE WOODMAN Owner/Administrator 956-782-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TX 142877) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |