| NPI | 1124673553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE BERNARD MCCASKILL Owner 214-499-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |