| NPI | 1407423528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL C MADUBUIKE Executive Director 972-940-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |