| NPI | 1225800998 |
|---|---|
| Doing Business As | NURTURING HEARTS/1 AMBITIOUS PROVIDER |
| Entity Type | Organization |
| Authorized Contact | LARRYMI DANIELLE MATHIS Program Manager 469-735-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |