| NPI | 1205599016 |
|---|---|
| Doing Business As | SHINING HEARTS RESIDENTIAL TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JADA ALEXANDER President 469-401-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |