| NPI | 1831217710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE FITTE Executive Director 254-562-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 315p00000x) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-11-08 |