Organization · NPI-2

A New Beginning888

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

NPI number1598901522
StatusActive
Last updated in NPPESDec 22, 2008

Details

NPI
1598901522
Entity type
Organization (NPI-2)
Legal business name
A New Beginning888
Organization subpart
No
Enumeration date
Dec 22, 2008
Last updated
Dec 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities–TXYes

Practice location

11208 Pleasant Wood Ln
Fort Worth, TX 76140-6538

Phone 817-875-5067 · Fax 817-615-8602

Mailing address

11208 Pleasant Wood Ln
Fort Worth, TX 76140-6538

Phone 817-875-5067 · Fax 817-615-8602

Authorized official

Adrine L Patrick
Owner
8176158602

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