Organization
FEDERAL CORRECTIONAL INSTITUTION
Active
Parent organization
DEPARTMENT OF JUSTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF JUSTICE
Authorized official
DR. MARTI CARLSON PSY. D. (CHIEF PSYCHOLOGIST)
(817) 413-3013
Entity
Organization
Contact information
Practice address
3150 HORTON RD, FOREST HILL, TX 76119-5905
(817) 413-3274
(817) 413-3295
Mailing address
3150 HORTON RD, FOREST HILL, TX 76119-5905
(817) 413-3274
(817) 413-3295
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1981
WI
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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