| NPI | 1336428960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMANICASHA JOHNSON Owner 972-820-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2011-08-13 |