| NPI | 1043600406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSLYN MAREE TATUM Director 469-321-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |