| NPI | 1992476436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M WEGER CEO 817-724-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-09-15 |