| NPI | 1588997712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEZO DEVOTNAE ADKISON Director Of Operations 682-433-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |