| NPI | 1568829125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMIMA MOISE Manager 214-926-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: 32059276298) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |