| NPI | 1972852424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYTRIANA K. HILL Director 972-814-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |