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Organization
MILESTONE GERIATRIC DAY CARE, INC
Active
Organization
MILESTONE GERIATRIC DAY CARE, INC
Active
Other names
Milestone Behavior Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AUDREY LUEEL IRVING N/A (DIRECTOR)
(817) 429-2290
Entity
Organization
Contact information
Practice address
2516 OAKLAND BLVD, SUITE 3, FORT WORTH, TX 76103-3203
(817) 429-2290
(817) 451-8114
Mailing address
2516 OAKLAND BLVD, SUITE 3, FORT WORTH, TX 76103-3203
(817) 429-2290
(817) 451-8114
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
11/02/2007
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