| NPI | 1205395878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI L EYRE Director/Owner 469-774-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-01-07 |