| NPI | 1568811578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE MORELAND Program Director/Manager 214-949-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-02-05 |