| NPI | 1649491408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDA S WILLIAMS Business Operations Manager 214-743-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |