| NPI | 1124273800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADETULA Administrator 972-572-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |