| NPI | 1861767493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYBIL ZIEGLER CEO 817-562-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-19 |