| NPI | 1548688054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JEANNINE HALL Vocational Nurse 972-536-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |