Organization
CHRISTIAN FAITH RESIDENTIAL HCS SERVICES LLC
Active
Organization
CHRISTIAN FAITH RESIDENTIAL HCS SERVICES LLC
Active
Other names
Christian Faith Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUISHA JOHNSON-WILLIAMS CCM, RN (PRESIDENT)
(817) 683-3936
Entity
Organization
Contact information
Practice address
7604 BERMEJO RD, FORT WORTH, TX 76112-6108
(817) 683-3936
Mailing address
7604 BERMEJO RD, FORT WORTH, TX 76112-6108
(817) 683-3936
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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