| NPI | 1568746659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI FLUELLEN Administrator 903-315-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |