Organization
AAA HEALTH AND SAFETY LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE BAYEMAKE MAHOP MAS (PROGRAM DIRECTOR)
(817) 704-9973
Entity
Organization
Contact information
Practice address
7227 FOSSIL LAKE DR, ARLINGTON, TX 76002-4711
(817) 704-9973
Mailing address
7227 FOSSIL LAKE DR, ARLINGTON, TX 76002-4711
(817) 704-9973
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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