| NPI | 1366081812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEZBORN OBAT CEO 254-644-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2024-07-03 |