Organization
KINSHIP PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEARY ATKINSON RN (ADMINISTRATOR)
(817) 298-6533
Entity
Organization
Contact information
Practice address
4304 PECOS ST, FORT WORTH, TX 76119-5162
(817) 810-8193
Mailing address
4436 ARBORWOOD TRL, FORT WORTH, TX 76123-2730
(817) 298-6533
(817) 297-1371
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
09/02/2014
Last updated
02/22/2024
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