| NPI | 1114599552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY HUDSON Managing Member 682-582-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |