| NPI | 1508430018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA JENNINGS CEO 972-523-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |