| NPI | 1144198052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ETUOKWU Manager 817-553-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-24 |