| NPI | 1982153383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH WALTERS CFO 915-474-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |