| NPI | 1104624766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA TODD Executive Coordinator 817-504-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-11 |