NPI | 1083599278 |
---|---|
Doing Business As | THE TRIUMPH COLLECTIVE |
Entity Type | Organization |
Authorized Contact | TENORIA T JOHNSON Program Director 817-217-3765 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-08-07 |
Last Update Date | 2025-08-07 |