| NPI | 1326241688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN ELLIS Owner 817-429-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |