| Center For Transforming Lives | |
|
512 W 4th St Ft Worth TX 76102-3613 | |
| (817) 332-6191 | |
| Not Available |
| Full Name | Center For Transforming Lives |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 512 W 4th St, Ft Worth, Texas |
| Authorized Official Name and Position | Jason Richardson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8174841534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Transforming Lives 512 W 4th St Ft Worth TX 76102-3613 Ph: () - | Center For Transforming Lives 512 W 4th St Ft Worth TX 76102-3613 Ph: (817) 332-6191 |
| NPI Number | 1669076097 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669076097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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