Organization
LIFE INTENSITY RESIDENTIAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA RENEA GRAY LCSW (CEO)
(817) 618-6001
Entity
Organization
Contact information
Practice address
12800 WESTRIDGE BLVD, FRISCO, TX 75035-3301
(817) 618-6001
Mailing address
1201 FREESIA DR, LITTLE ELM, TX 75068-4658
(817) 618-6001
(469) 405-6565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
273R00000X
Psychiatric Hospital Unit
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
07/30/2024
Last updated
06/21/2026
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