Whalio Doctors

NPI 1053918151

The Salvation Army, a Georgia Corp. - Mabee Center

Organisation Substance Abuse Rehabilitation Facility Fort Worth, TX

Practice location

Address
1855 E. Lancaster Ave., Fort Worth, TX 76103-2123
Phone
(817) 344-1831
Fax
(817) 338-9251

Authorised official

Name
Austruberto Flores
Title
Assistant Treasurer
Phone
(404) 728-1300

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1053918151
Entity type
Organization
NPI issued
2 Oct 2020
Record last updated
2 Oct 2020

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.