| NPI | 1194251751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN C. BIRGEN Owner/Program Manager 469-263-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |