| NPI | 1710698378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE ROSEMAN Director 214-984-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |