| NPI | 1871172007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHURLA GAY Program Director 972-809-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |