| NPI | 1093219263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HALL Owner 214-497-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-01-22 |