| NPI | 1225641285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BUTLER Chief Executive Officer 817-987-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist |
| 251B00000X Case Management | |
| 251S00000X | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 261QB0400X Clinic/Center, Birthing | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-01-07 |