| NPI | 1104233402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS DANIELS Director 903-327-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 102840) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-01-18 |