| NPI | 1215459193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL GUDZA Administrator 469-235-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 102479) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-01-26 |