| NPI | 1235448291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE TATUM Owner 214-728-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 103717) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: TX 103717) |
| 261QH0100X Clinic/Center, Health Services (Licence: TX 103717) | |
| 302R00000X Health Maintenance Organization (Licence: TX 103717) | |
| 374U00000X Home Health Aide (Licence: TX 103717) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |