Organization
A BRIGHTER START YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBEREY CALLOWAY RN (ADMINISTRATOR)
(682) 326-6295
Entity
Organization
Contact information
Practice address
4800 WELLESLEY AVE STE A, FORT WORTH, TX 76107-6149
(682) 326-6295
(972) 975-5061
Mailing address
4800 WELLESLEY AVE STE A, FORT WORTH, TX 76107-6149
(682) 326-6295
(972) 975-5061
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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