| NPI | 1831583152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI TAYLOR CEO 682-334-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 35233953) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: TX 35233953) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |