| NPI | 1891338364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORENE OSHOWOLE Owner/Operations Manager 469-693-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-12-20 |