| NPI | 1225734304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EYAKOH CEO 469-346-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-03-13 |