| NPI | 1558800839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA HUDSPETH CRAWFORD Owner/Program Manager 254-290-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2017-02-19 |