| NPI | 1952626525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI ANN MADARIS Owner Director 254-554-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-15 |