| NPI | 1871896696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CISNEROS Owner/Real Estate Broker 817-300-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |