| NPI | 1376939413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE LEE MILLER Program Director 469-964-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |