Mental Health Outreach Services | |
1725 Vinewood St Fort Worth TX 76112-2959 | |
(817) 531-8330 | |
(817) 531-8309 |
Full Name | Mental Health Outreach Services |
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Speciality | Counselor - Mental Health |
Location | 1725 Vinewood St, Fort Worth, Texas |
Authorized Official Name and Position | David H West (OWNER/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8175318330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mental Health Outreach Services 1725 Vinewood St Fort Worth TX 76112-2959 Ph: (817) 531-8330 | Mental Health Outreach Services 1725 Vinewood St Fort Worth TX 76112-2959 Ph: (817) 531-8330 |
NPI Number | 1861449910 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 03/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861449910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 13981 (Texas) | Primary |
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