| NPI | 1366821373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AREYA RENEA SQUARE Owner 682-717-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 228309) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-08-08 |