Organization
A NEW BEGINNING888
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRINE L PATRICK (OWNER)
(817) 615-8602
Entity
Organization
Contact information
Practice address
11208 PLEASANT WOOD LN, FORT WORTH, TX 76140-6538
(817) 875-5067
(817) 615-8602
Mailing address
11208 PLEASANT WOOD LN, FORT WORTH, TX 76140-6538
(817) 875-5067
(817) 615-8602
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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