| NPI | 1710377726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ROSS Cheif Executive Officer 469-901-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |