| NPI | 1497369474 |
|---|---|
| Former Legal Business Name | NEXPHASE HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | LOVELINE NCHE Owner 817-500-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-08 |