Organization
BRANDI NICOLE BOYD
Active
Other names
TRINITY CARES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI NICOLE BOYD (CEO)
(903) 237-9988
Entity
Organization
Contact information
Practice address
1112 ACAPULCO LN, WHITE OAK, TX 75693-3046
(903) 237-9988
Mailing address
1112 ACAPULCO LN, WHITE OAK, TX 75693-3046
(903) 237-9988
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
17376310
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
17376310
TX
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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