Organization
CENTRIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ROSEMARY BERNICE SMITH BAS PSYCHOLOGY (BEHAVIOR TECHNICIAN)
(682) 201-0889
Entity
Organization
Contact information
Practice address
3813 CLOTELL DR, FORT WORTH, TX 76119-7742
(682) 201-0889
Mailing address
3813 CLOTELL DR, FORT WORTH, TX 76119-7742
(682) 201-0889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Enumeration date
07/09/2016
Last updated
07/21/2022
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