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Organization
WINGS OF THE FUTURE, NFP
Active
Organization
WINGS OF THE FUTURE, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL MARIE BOOTHE LCSW (EXECUTIVE DIRECTOR)
(661) 402-1545
Entity
Organization
Contact information
Practice address
100 CRESCENT CT FL 7, DALLAS, TX 75201-6900
(214) 427-5694
Mailing address
1308 ISLAND VISTA DR, ARLINGTON, TX 76005-1375
(214) 427-5694
(661) 727-0006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB394408
MEDICARE
CA
Enumeration date
11/10/2021
Last updated
09/09/2026
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