| NPI | 1568987055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS VUBUN ZEWEN Owner 214-280-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-11-09 |