| NPI | 1912632316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMESHEON ADINNU Managing Member 214-552-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |