| NPI | 1447689286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS BENJAMIN CEO 817-534-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |