| NPI | 1184918468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY MAYFIELD Program Manager 469-735-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2011-06-04 |