| NPI | 1548942279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE MOURY'E BEACHUM Owner/President 817-528-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |