# LIFE INTENSITY RESIDENTIAL TREATMENT CENTER

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

## Provider details

- **NPI number:** 1558190405
- **Authorized official:** MS. MONICA RENEA GRAY LCSW (CEO)
- **Authorized official phone:** (817) 618-6001

## Contact information

- **Practice address:** 12800 WESTRIDGE BLVD, FRISCO, TX 75035-3301
- **Practice address phone:** (817) 618-6001
- **Mailing address:** 1201 FREESIA DR, LITTLE ELM, TX 75068-4658
- **Mailing address phone:** (817) 618-6001
- **Mailing address fax:** (469) 405-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | Yes |
| 273R00000X | Psychiatric Hospital Unit | — | — | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | — | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 08/10/2026