| NPI | 1154204808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVIE OSA Manager 214-853-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| 251B00000X Case Management | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-04-14 |