| NPI | 1639383037 |
|---|---|
| Doing Business As | MHMR OF TARRANT COUNTY |
| Other Name | MARTHA LANE ICFMR |
| Entity Type | Organization |
| Authorized Contact | YOLANDA MONTES Enrollment Coordinator 817-569-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-09-01 |