Organization · NPI-2

Aaa Health And Safety Lodge

Community Based Residential Treatment Facility, Mental Illness · Arlington, TX

NPI number1013317106
StatusActive
Last updated in NPPESAug 26, 2014

Details

NPI
1013317106
Entity type
Organization (NPI-2)
Legal business name
Aaa Health And Safety Lodge
Organization subpart
No
Enumeration date
Aug 26, 2014
Last updated
Aug 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

7227 Fossil Lake Dr
Arlington, TX 76002-4711

Phone 817-704-9973

Mailing address

7227 Fossil Lake Dr
Arlington, TX 76002-4711

Phone 817-704-9973

Authorized official

Joe Bayemake Mahop
Program Director
8177049973

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