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Organization
LIFE INTENSITY RESIDENTIAL TREATMENT CENTER
Active
Organization
LIFE INTENSITY RESIDENTIAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA RENEA GRAY LCSW (CEO)
(817) 618-6001
Entity
Organization
Contact information
Practice address
12800 WESTRIDGE BLVD, FRISCO, TX 75035-3301
(817) 618-6001
Mailing address
1201 FREESIA DR, LITTLE ELM, TX 75068-4658
(817) 618-6001
(469) 405-6565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
273R00000X
Psychiatric Hospital Unit
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/30/2024
Last updated
08/10/2026
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