| NPI | 1811216690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY BLEVINS Director 432-364-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TX 69332) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |