| NPI | 1831876044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN DAVIS CEO 817-714-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |