| NPI | 1609313832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS Owner/Program Manager 214-809-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |