| NPI | 1669349148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM TATUM Owner/Executive Director 254-412-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-11-11 |