| NPI | 1629278007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ELIZABETH ABUNASSAR Administrator/ Vice President 817-860-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |