| NPI | 1194977488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA C ROBERTS Manager 469-245-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2009-08-13 |