| 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 |