Center for Transforming Lives

NPI #1669076097 in Ft Worth, Texas

Provider Information

NPI Number
1669076097
Entity Type
Organization
Organization Name
Center for Transforming Lives
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 25, 2020
Last Updated
Nov 25, 2020

Practice Location

Address
512 W 4TH ST
State
Texas
ZIP Code
76102-3613
Phone
(817) 332-6191

Authorized Official

Name
JASON RICHARDSON, CPA
Title
CHIEF FINANCIAL OFFICER
Phone
(817) 484-1534

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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