| NPI | 1538848221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA NGANGA Executive Director 469-226-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |