NPI | 1427689777 |
---|---|
Entity Type | Organization |
Authorized Contact | CHINWE M OKEKE-MOFFATT Owner 972-464-8049 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2020-01-27 |
Last Update Date | 2023-11-28 |