| NPI | 1164078028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS DUNN President 682-203-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |