| NPI | 1295032043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA DENISE MITCHELL Owner / CEO 817-296-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |