| NPI | 1245562271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SHAFER Executive Director 254-421-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 173334) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |