Organization
CENIKOR FOUNDATION
Active
Parent organization
CENIKOR FOUNDATION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENIKOR FOUNDATION, INC.
Authorized official
MATT KUHLMAN (CFO)
(713) 266-9944
Entity
Organization
Contact information
Practice address
2209 SOUTH MAIN STREET, FORT WORTH, TX 76110
(817) 921-2771
(817) 926-0301
Mailing address
PO BOX 4785, MSC 675, HOUSTON, TX 77210
(713) 266-9944
(713) 574-2940
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/12/2010
Last updated
11/10/2020
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