Organization
POTENXIAL BY SOFY LLC
Active
Parent organization
SOFIA ROSAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOFIA ROSAS
Authorized official
SOFIA ROSAS (OWNER)
(682) 230-7139
Entity
Organization
Contact information
Practice address
1402 JANANN AVE, ARLINGTON, TX 76014-1426
(817) 899-3490
Mailing address
1402 JANANN AVE, ARLINGTON, TX 76014-1426
(817) 899-3490
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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