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Individual

VIADA PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1832 ALANBROOKE DR, FORT WORTH, TX 76140-5150
(817) 706-3896
Mailing address
1832 ALANBROOKE DR, FORT WORTH, TX 76140-5150
(817) 706-3896

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/28/2024
Last updated
05/16/2024
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