| NPI | 1255875357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLYROSE AKANNI Program Manager 214-727-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |