Organization
QUALITY CARE ACCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN NSENGA PHD (EXECUTIVE DIRECTOR)
(817) 420-4698
Entity
Organization
Contact information
Practice address
22 WAYNE ST, PORTLAND, ME 04102-2228
(817) 420-4698
Mailing address
1321 DESERT BARREL DR, FORT WORTH, TX 76177-2052
(817) 420-4698
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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