| NPI | 1801752548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENEIDA SIMPSON GOFF Managing Partner 214-797-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2025-12-26 |