Organization
TCMERF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE M. ROBINSON MAMFC MACE (PRESIDENT/CEO)
(817) 336-5454
Entity
Organization
Contact information
Practice address
900 SOUTHLAND AVE, FORT WORTH, TX 76104-3911
(817) 336-5454
(817) 336-4026
Mailing address
900 SOUTHLAND AVE, FORT WORTH, TX 76104-3911
(817) 336-5454
(817) 336-4026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0000007
TX
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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