| NPI | 1275809477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDA ROY CEO 469-556-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |