| NPI | 1639474869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PEAKES Director 214-608-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |