| NPI | 1568899607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRA L DONALDSON Executive Director 469-774-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |