| NPI | 1962753913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BURROWS Program Director 214-592-5813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2012-09-29 |