Individual
MR. JERRY BEN MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1333 E RICHMOND AVE, FORT WORTH, TX 76104-6116
(817) 926-7041
(817) 926-7461
Mailing address
6901 REBEL RD, FOREST HILL, TX 76140-1815
(817) 293-7347
(817) 926-7461
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
09/25/2007
Last updated
11/13/2007
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