| Milestone Behavior Health Center | |
|
2516 Oakland Blvd Suite 3 Fort Worth TX 76103-3201 | |
| (817) 429-2290 | |
| (814) 492-9098 |
| Full Name | Milestone Behavior Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2516 Oakland Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Audrey Lueel Irving (DIRECTOR) |
| Authorized Official Contact | 8174292290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Behavior Health Center 2516 Oakland Blvd Suite 3 Fort Worth TX 76103-3203 Ph: (817) 429-2290 | Milestone Behavior Health Center 2516 Oakland Blvd Suite 3 Fort Worth TX 76103-3201 Ph: (817) 429-2290 |
| NPI Number | 1063447001 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063447001 | NPI | - | NPPES |
| 153822502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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