NPI | 1457023087 |
---|---|
Former Legal Business Name | MME GROUP HOME |
Entity Type | Organization |
Authorized Contact | ESTHER NKWANYOU CEO 817-412-3067 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-10-01 |
Last Update Date | 2021-10-01 |