NPI | 1831876044 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN DAVIS CEO 817-714-1311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-06-29 |
Last Update Date | 2025-06-27 |