NPI | 1689890592 |
---|---|
Doing Business As | CUSTOM CARE HCS |
Entity Type | Organization |
Authorized Contact | JANICE WANDREY LEONARD CEO / Program Manager 903-297-0929 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-04-18 |
Last Update Date | 2024-01-22 |