NPI | 1720426000 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILYN MONTGOMERY Owner 903-830-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2013-06-10 |
Last Update Date | 2013-06-10 |