| NPI | 1215270723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HICKS President 817-344-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |