Organization
SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC
Active
Other names
WellBridge Healthcare of Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SHOUSE (DELEGATED/AUTHORIZED OFFICIAL)
(502) 680-2115
Entity
Organization
Contact information
Practice address
6200 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-0000
(817) 361-1991
(817) 361-1993
Mailing address
8343 DOUGLAS AVE STE 350, DALLAS, TX 75225-5887
(817) 361-1991
(817) 361-1993
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
100246
TX
Other
Enumeration date
01/17/2014
Last updated
04/08/2020
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