| NPI | 1194893180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI TURNER Licensing Coordinator 682-707-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007212) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-05-13 |