| NPI | 1962152405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY HOLLINGSWORTH SOJOURNER Executive Diretor 817-721-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2024-09-11 |