NPI | 1457088239 |
---|---|
Entity Type | Organization |
Authorized Contact | DAPHANEE S HARBERT Owner 817-703-1557 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-08-02 |