| NPI | 1619271731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEPPI WESLEY CARNEGIE CEO 214-552-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |