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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