Organization
DAYBREAK, INC.
Active
Other names
Prairie Creek
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TRAUTMAN (LICENSING COORDINATOR)
(682) 707-2756
Entity
Organization
Contact information
Practice address
920 PRAIRIE CREEK DR, DESOTO, TX 75115-4721
(800) 299-5161
(817) 447-3033
Mailing address
4150 INTERNATIONAL PLZ STE 820, FORT WORTH, TX 76109-4836
(800) 299-5161
(817) 447-3033
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000765101
CONTRACT #
TX
01
—
007651
CONTRACT
TX
01
—
112742
LICENSE
TX
Enumeration date
05/31/2007
Last updated
04/28/2025
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