| Organization Name: | EXTREME ACTIVITIES INC |
| NPI Number: | 1013074756 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAUL FERNANDEZ (DIRECTOR) |
| Mailing Address: | 504 Vitela St Del Rio |
| State: | TX US |
| Postal Code: | 78840 |
| Phone Number: | 8307752552 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 119208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |