| NPI | 1871110908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA PLAYER CEO 469-704-3649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |