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Organization
POTENXIAL BY SOFY LLC
Active
Organization
POTENXIAL BY SOFY LLC
Active
Parent organization
SOFIA ROSAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOFIA ROSAS
Authorized official
SOFIA ROSAS (OWNER)
(682) 230-7139
Entity
Organization
Contact information
Practice address
1402 JANANN AVE, ARLINGTON, TX 76014-1426
(817) 899-3490
Mailing address
1402 JANANN AVE, ARLINGTON, TX 76014-1426
(817) 899-3490
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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