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Organization

ALL CHURCH HOME FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN ZALETEL (DIRECTOR OF ACCOUNTING)
(817) 886-7109
Entity
Organization

Contact information

Practice address
3712 WICHITA ST, FORT WORTH, TX 76119-2866
(817) 335-4041
(217) 887-2735
Mailing address
3712 WICHITA ST, FORT WORTH, TX 76119-2866
(817) 335-4041
(217) 887-2735

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1459711-01
TX
Enumeration date
02/22/2007
Last updated
08/12/2016
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