| NPI | 1306436647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRYMI D MATHIS CEO 469-735-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2023-08-08 |