| NPI | 1578276317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER JENKINS Chief Executive Officer 817-797-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |