| NPI | 1528580198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMALA ROCHELLE BALL Program Director 214-682-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-03-05 |