| NPI | 1730311770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J SOWELL Owner 903-593-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2012-02-29 |