| NPI | 1881778025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMPSON Executive Director 254-752-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-03-05 |