| NPI | 1013861418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE DELORES ANN DAVIS CEO 817-308-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |