| NPI | 1952189748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIRA CONAWAY CEO/Program Director 469-826-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |