| NPI | 1477485043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA WHITLEY CEO 469-337-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2026-05-30 |
| Last Update Date | 2026-06-30 |