| NPI | 1942811591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABEL IJEOMA MADUBUIKE CEO 214-738-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |