| NPI | 1811070485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CORNWELL Executive Director 325-672-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 116368) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |