| NPI | 1407669732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE CANARIOS BARILLA CEO 214-754-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 283Q00000X Psychiatric Hospital | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-08-21 |