IndividualActive
Amanda Galvan, OWNER
NPI 1699288589 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grapevine, TX
Provider details
- NPI number
- 1699288589
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- OWNER
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2300 Timberline Dr
Grapevine, TX 76051-4323
Phone: (281) 826-1845
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Timberline Dr
Grapevine, TX 76051-4323
Registry dates
- Enumerated
- 2017-11-14
- Last updated
- 2017-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.