Organization
CENTER FOR THERAPEUTIC CHANGE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BELLMY (EXCETIVE DIRECTOR)
(817) 548-9990
Entity
Organization
Contact information
Practice address
6320 BRENTWOOD S STAIR RD, FT. WORTH, TX 76112-7404
(817) 548-9990
Mailing address
605 E BORDER ST, ARLINGTON, TX 76010-7404
(817) 548-9990
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2340
TX
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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