| NPI | 1710863196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ELIZABETH ABUNASSAR Adminstrator/Owner 817-966-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |