NPI 1154521474

My Health My Resources of Tarrant County

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Fort Worth, TX

Practice location

Address: 1300 Circle Dr, Fort Worth, TX 76119-8113
Phone: (817) 569-4396
Fax: (817) 569-4517
Mailing address: PO Box 2603, Fort Worth, TX 76113-2603

Authorised official

Name: Yolanda Montes
Title: Enrollment Coordinator
Phone: (817) 569-5235

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Texas →

Registry record

NPI: 1154521474
Entity type: Organization
NPI issued: 24 Jul 2007
Record last updated: 1 Sep 2017

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.