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Organization
ONE TRIBE FOUNDATION
Active
Organization
ONE TRIBE FOUNDATION
Active
Parent organization
22KILL
Other names
22Kill
Organization subpart
Yes
Provider details
NPI number
Legal business name
22KILL
Authorized official
ANDREW CARLTON (CONSULTANT)
(817) 996-5867
Entity
Organization
Contact information
Practice address
855 TEXAS ST STE 105, FORT WORTH, TX 76102-4574
(682) 990-6242
Mailing address
13625 NEUTRON RD, DALLAS, TX 75244-4411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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