| NPI | 1548894959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHANNA T HARGROVE Owner 817-404-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2024-03-25 |