| NPI | 1518229384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WILKINSON BRODEN Speech Pathologist 214-392-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |