| NPI | 1306072780 |
|---|---|
| Other Name | PMTRC |
| Entity Type | Organization |
| Authorized Contact | THERESA RAE LISENBY Instructor, CEO 469-595-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-30 |
| Last Update Date | 2009-05-30 |