| NPI | 1902119092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL KANAN Director 817-709-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2015-10-02 |