| NPI | 1609077205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE HINDMAN CFO 817-294-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 000366502) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-03-10 |