| NPI | 1629264528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA G. RICHARDSON Administrator 817-230-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 010544) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |