| NPI | 1861869190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KECIA BOLTON CFO 469-774-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |