| NPI | 1801295019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOHAR GHATRAZU Vice President 214-850-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-10-07 |