| NPI | 1033049986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILLIAMS Administrator/Owner 682-521-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-05-21 |
| Last Update Date | 2026-05-21 |