| NPI | 1629403613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE MARIE HILL Nuse Aid 817-557-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX NA10975433) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |