| NPI | 1386490282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY LOIS HENDRIX Program Director/CEO 903-991-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-05-11 |