| NPI | 1083773105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA KIRKPATRICK President 817-847-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 007464) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |