| NPI | 1356426985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA TODD Operations Business Manager 800-299-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007249) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 001007249) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 001007249) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 118282) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX 001007249) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-04-27 |