Organization
CYNTHIA Y GOODIE
Active
Other names
a chosen home
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA YVETTE GOODIE (OWNER)
(469) 471-8604
Entity
Organization
Contact information
Practice address
3104 APPLE BLOSSOM LN, ARLINGTON, TX 76014-2614
(469) 471-8604
Mailing address
3104 APPLEBLOSSOM LN, ARLINGTON, TX 76014
(469) 471-8604
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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