| NPI | 1831303874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHURLA GAY Program Director 972-283-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007995) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |