| NPI | 1255674255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI AZUBIKE TILLEY Co Owner 972-986-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |