| NPI | 1750781217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEARY ATKINSON Administrator 817-298-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2024-02-22 |