# PROFESSIONAL CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114123015
- **Authorized official:** MRS. LATONDRA DENISE ASKEW (ADMINISTRATOR)
- **Authorized official phone:** (469) 877-8557

## Contact information

- **Practice address:** 6327 TEAGUE DR, DALLAS, TX 75241-4844
- **Practice address phone:** (214) 372-3690
- **Practice address fax:** (972) 224-5589
- **Mailing address:** 6327 TEAGUE DR, DALLAS, TX 75241-4844
- **Mailing address phone:** (214) 372-3690
- **Mailing address fax:** (972) 224-5589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 030258 | TX | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 08/28/2007