Organization
HOLISTIC BEHAVIORAL SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDY MAYA MOMBELEUR NP (CEO)
(214) 213-4303
Entity
Organization
Contact information
Practice address
5532 GRENADA DR, FORT WORTH, TX 76119-8501
(469) 445-6366
Mailing address
5532 GRENADA DR, FORT WORTH, TX 76119-8501
(469) 445-6366
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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