| NPI | 1063436665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FONTENOT CFO 903-597-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-08-15 |