| NPI | 1083362768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYIESHA BROWN Administrator 817-680-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 253J00000X Foster Care Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2022-03-12 |