| NPI | 1992463871 |
|---|---|
| Doing Business As | DALLAS DEFLECTION CENTER - HOMEWARD BOUND |
| Entity Type | Organization |
| Authorized Contact | FREDERICK CERISE President And CEO 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-12-07 |