| NPI | 1265262430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAY TILLMAN Provider 214-906-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-08-03 |