Organization
AFFINITY1
Active
Other names
Nurturing Hearts/1 Ambitious Provider
Organization subpart
No
Provider details
NPI number
Authorized official
LARRYMI DANIELLE MATHIS (PROGRAM MANAGER)
(469) 735-3395
Entity
Organization
Contact information
Practice address
3455 HIGHLAND RD # 101, DALLAS, TX 75228-7193
(469) 735-3395
Mailing address
3455 HIGHLAND RD # 101, DALLAS, TX 75228-7193
(469) 735-3395
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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