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Organization

FATHERS RISE TOGETHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAQUANA MCENTYRE (EXECUTIVE DIRECTOR)
(218) 461-1722
Entity
Organization

Contact information

Practice address
2527 BROKEN BOW DR, SEAGOVILLE, TX 75159-5515
(218) 390-9204
Mailing address
2527 BROKEN BOW DR, SEAGOVILLE, TX 75159-5515

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/18/2025
Last updated
09/25/2025
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