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Organization
AUTISTIC TREATMENT CENTER INC
Active
Organization
AUTISTIC TREATMENT CENTER INC
Active
Other names
AUTISM TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA E. GOLDEN OTR, OTD (ADMINISTRATOR)
(817) 566-1111
Entity
Organization
Contact information
Practice address
1100 CIRCLE DR, STE. 101, FORT WORTH, TX 76119-8111
(817) 566-1100
(817) 536-6945
Mailing address
1100 CIRCLE DR, STE. 101, FORT WORTH, TX 76119-8111
(817) 566-1100
(817) 536-6945
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
10/09/2013
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