| NPI | 1083220024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVELINE N NCHE Owner 817-500-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-05-13 |