Organization
AMETHYST RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARVA MILES (PRESIDENT)
(214) 514-7970
Entity
Organization
Contact information
Practice address
5863 FOXGLOVE LN, DALLAS, TX 75249-1625
(214) 514-7970
Mailing address
5863 FOXGLOVE LN, DALLAS, TX 75249-1625
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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