Whalio Doctors

NPI 1033453170

Sober By Grace, INC.

Organisation Community/Behavioral Health Agency Fort Worth, TX

Practice location

Address
2451 Bomar Ave, Fort Worth, TX 76103-2211
Phone
(817) 386-7584
Mailing address
1056 Sagewood Ln, Saginaw, TX 76131-4805

Authorised official

Name
Bryce E Hudnall
Title
Director
Phone
(817) 606-9580

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 67601 (TX)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 67601 (TX)

Registry record

NPI
1033453170
Entity type
Organization
NPI issued
15 Nov 2012
Record last updated
15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.