Organization
RECREATION THERAPY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEWIS GERRON CTRS (RECREATION THERAPY SPECIALIST)
(817) 570-2230
Entity
Organization
Contact information
Practice address
6000 WESTERN PL, 300, FORT WORTH, TX 76107-4607
(817) 570-2230
(817) 570-2231
Mailing address
6000 WESTERN PL, 300, FORT WORTH, TX 76107-4607
(817) 570-2230
(817) 570-2231
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
26735
TX
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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