| NPI | 1609138353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JOHNSON Limited Liability Company 214-664-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-12-06 |