| NPI | 1649417031 |
|---|---|
| Doing Business As | ICS |
| Entity Type | Organization |
| Authorized Contact | TOMMIE NELL DAVIS Director 817-333-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |