| NPI | 1932486958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L DONALD Owner/General Manager 817-909-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |