| NPI | 1760652200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA TODD Executive Coordinator 817-504-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 372500000X Chore Provider |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 163W00000X Registered Nurse | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2025-10-17 |