| NPI | 1356747554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARIK MOLINA President 214-310-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2014-11-15 |