# IMPACT MINDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568238814
- **Authorized official:** GHUFRAN MOHAMMAD (PRESIDENT)
- **Authorized official phone:** (469) 831-6590

## Contact information

- **Practice address:** 6118 BELGRADE AVE, DALLAS, TX 75227-3607
- **Practice address phone:** (469) 831-6590
- **Mailing address:** 15593 CADEMAN CT, FRISCO, TX 75035-1022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023