| NPI | 1487368288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY HILL Director 817-819-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |