| NPI | 1477025955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI BOOTH Administrator/CEO 469-986-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2023-11-06 |