| NPI | 1063287324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA E OTOMEWO Manager 469-753-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2026-07-28 |