Organization
XAVIER WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WASHINGTON (Q)
(214) 228-3072
Entity
Organization
Contact information
Practice address
4817 BRENTWOOD STAIR RD STE 105, FT WORTH, TX 76103-1734
(214) 228-3072
Mailing address
4817 BRENTWOOD STAIR RD STE 105, FT WORTH, TX 76103-1734
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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