| NPI | 1548928302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL SIMBATOHANA Program Director 325-262-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |