| NPI | 1790009678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE M OMOROGBE Owner 817-703-9562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2010-04-02 |