Organization
CENTER FOR TRANSFORMING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RICHARDSON CPA (CHIEF FINANCIAL OFFICER)
(817) 484-1534
Entity
Organization
Contact information
Practice address
512 W 4TH ST, FT WORTH, TX 76102-3613
(817) 332-6191
Mailing address
512 W 4TH ST, FT WORTH, TX 76102-3613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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