| NPI | 1306364054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LASHLEY CEO 817-447-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TN PENDING) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2020-08-18 |