| NPI | 1730461708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SCOTT Owner 214-641-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2012-10-17 |