| NPI | 1881358703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFONIYAS AFEWORK Service Provider 469-427-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |