| NPI | 1649544909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY JOHNATHON GONZALES Program Director 214-277-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 801559087) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 801559087) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |