| NPI | 1851777148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BERRYHILL CFO 903-597-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |