NPI | 1972023711 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY R DUFFIE Executive Director 903-252-2632 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2017-06-22 |
Last Update Date | 2022-07-21 |