Organization
MINDS N MOTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN MICHELLE JACKSON (OWNER)
(817) 996-0402
Entity
Organization
Contact information
Practice address
3613 FLEETWOOD DR, FORT WORTH, TX 76123-2377
(817) 996-0402
(682) 628-0891
Mailing address
3613 FLEETWOOD DR, FORT WORTH, TX 76123-2377
(817) 996-0402
(682) 628-0891
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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