| NPI | 1972849594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIAN L JONES Owner/President 682-583-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2013-11-21 |