Organization
BUENA VIDA FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN CAZARES LMSW (OFFICE MANAGER)
(817) 376-9841
Entity
Organization
Contact information
Practice address
1714 S COOPER ST, ARLINGTON, TX 76013-3939
(817) 376-9841
(972) 236-0092
Mailing address
1714 S COOPER ST, ARLINGTON, TX 76013-3939
(817) 376-9841
(972) 236-0092
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326466558
—
TX
Enumeration date
06/06/2018
Last updated
06/06/2018
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