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Organization

MY HEALTH MY RESOURCES OF TARRANT COUNTY

Active
Other names
MHMR of Tarrant County, Glenbrook ICFMR
Organization subpart
No

Provider details

NPI number
Authorized official
YOLANDA MONTES (ENROLLMENT COORDINATOR)
(817) 569-5235
Entity
Organization

Contact information

Practice address
3609 GLENBROOK DR, ARLINGTON, TX 76015-3828
(817) 569-4396
(817) 569-4517
Mailing address
PO BOX 2603, HTN CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4396
(817) 569-4517

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000763601
TX
Enumeration date
05/09/2007
Last updated
09/01/2017
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