| NPI | 1558743476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN FARRELL MARTIN Owner/ Manager 806-241-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 251B00000X Case Management | |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-07-10 |