| NPI | 1497030035 |
|---|---|
| Former Legal Business Name | JOUSHUAS COVENANTS RESIDENTIAL CARE L.L.C. |
| Entity Type | Organization |
| Authorized Contact | VICKIE R. SKINNER Owner 903-917-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |