| NPI | 1215037007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DELE ADAGBON Alte RN Ate Administrator 972-216-4517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |