| NPI | 1912106014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE IKE IKENYEI President 817-323-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |