| NPI | 1629622428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL EDINBYRD Owner/Program Manager 214-244-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |