Organization
CIRCLE OF LIFE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR PEREIRA (DIRECTOR)
(972) 274-0012
Entity
Organization
Contact information
Practice address
801 W BEAR CREEK RD, GLENN HEIGHTS, TX 75154-8701
(214) 275-9645
Mailing address
801 W BEAR CREEK RD, GLENN HEIGHTS, TX 75154-8701
(214) 275-9645
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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