| 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 |