22KILL
Organization (NPI-2)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1811524085- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 855 TEXAS ST STE 105, FORT WORTH, TX, 761024574
- Phone
- (682) 990-6242
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Counselor, Mental Health
Primary
All Addresses
MAILING
855 TEXAS ST
FORT WORTH, TX, 761024572