OrganizationActive
Professional Care Facility
NPI 1114123015 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dallas, TX
Provider details
- NPI number
- 1114123015
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latondra Askew, Administrator(469) 877-8557
- License
- 030258 (TX)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 030258 (TX)
Residential Treatment Facilities
Practice location
6327 Teague Dr
Dallas, TX 75241-4844
Phone: (214) 372-3690
Fax: (972) 224-5589
Approximate (ZIP-level) locationGet directions
Mailing address
6327 Teague Dr
Dallas, TX 75241-4844
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2007-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.