| NPI | 1760771323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLESETTA ROBERTSON President 817-205-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |