# A DIVERSE FAMILY INC.

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

## Provider details

- **NPI number:** 1881214161
- **Authorized official:** JAI GILLARD (CEO)
- **Authorized official phone:** (210) 379-9899

## Contact information

- **Practice address:** 1412 MAIN ST STE 2500, DALLAS, TX 75202-4803
- **Practice address phone:** (210) 379-9899
- **Mailing address:** 6788 LAKEFRONT DR, GRAND PRAIRIE, TX 75054-6831
- **Mailing address phone:** (210) 379-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 09/13/2023