| NPI | 1497431308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVIS HASTINGS CEO/Owner 469-693-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-05-28 |