Organization
ILLUMINATE MY PATH RECOVERY HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEE (PROGRAM DIRECTOR)
(817) 999-9945
Entity
Organization
Contact information
Practice address
517 GRISTMILL LN, EVERMAN, TX 76140-4709
(214) 429-4920
Mailing address
517 GRISTMILL LN, EVERMAN, TX 76140-4709
(214) 429-4020
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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