| NPI | 1447673819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CARR Care Coordinator 817-994-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |