| NPI | 1548961782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WEBB Owner/Program Provider 806-570-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2025-05-05 |