| NPI | 1700023884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAYAWE AGBONTAEN Executive Director 214-517-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |