| NPI | 1619207206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA JOYCE BRYANT Executive Director 817-726-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 124381) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |