Organization
MESA SPRINGS, LLC
Active
Organization
MESA SPRINGS, LLC
Active
Other names
Mesa Springs
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
5560 MESA SPRINGS DRIVE, FORT WORTH, TX 76123
(817) 292-4600
(817) 292-4604
Mailing address
4801 OLYMPIA PARK PLZ STE 1000, LOUISVILLE, KY 40241-2090
(502) 916-8830
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339487601
—
TX
Enumeration date
06/10/2013
Last updated
05/04/2023
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