| NPI | 1821233404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD JORDAN Operations Manager 972-464-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |