| NPI | 1043413594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THORNE CFO 806-342-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001010000) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-31 |