| NPI | 1720294762 |
|---|---|
| Other Name | WEST LANE ICFMR |
| Doing Business As | MHMR OF TARRANT COUNTY |
| 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 | 2007-05-15 |
| Last Update Date | 2021-08-18 |