| NPI | 1124263371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASANDRA PENN Owner 972-412-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 01757330) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |