| NPI | 1942198502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON RENE CRUMBLIN Program Manager 254-317-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-30 |