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 |