| NPI | 1720447642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN D PERRY Director 214-708-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |