| NPI | 1912189861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MONTGOMERY Owner 214-928-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TX 122010) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |