| NPI | 1518168483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS DAVID GROOM Home Administrator 214-904-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-08-12 |