| NPI | 1174449797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIANA MARIE WASHINGTON Owner 817-681-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-06-26 |
| Last Update Date | 2026-06-26 |