| NPI | 1871792481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMYRA R STOCKER CEO/ Director 972-230-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 320900000X) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |