| NPI | 1376895029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BZYNTIA ANTIONETTE MILTON Owner 214-537-7953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |