| NPI | 1023770906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY ACHAN Executive Director 469-900-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-08 |