| NPI | 1255047379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA ROTIBI President 972-890-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-02-06 |