| NPI | 1154539039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELLIS Owner 214-376-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TX 119225) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-09-01 |