| NPI | 1558287797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI RENEE BRUNER Program Manager 817-902-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |