| NPI | 1356695480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LEA TAYLOR Christian Counselor 903-917-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |