| NPI | 1871658211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A JONES President 469-855-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-06-21 |