| NPI | 1841900198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIER GASORE Owner 325-668-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 364SL0600X Clinical Nurse Specialist, Long-Term Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-09-13 |