NPI | 1871879775 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMALITA BATISTE Program Director/Owner 903-917-3202 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2011-10-24 |
Last Update Date | 2025-09-03 |