NPI | 1013609270 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRINE CYUZUZO Administrator 817-350-9467 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-05-24 |