| NPI | 1417776923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINHO KIM Executive Director 972-697-5962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-11-06 |