| NPI | 1063922565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LASHUN HUGHEY Program Director 972-352-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |