Organization
THE ABILITY TO ACHIEVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALITHA SHELBY (PROGRAM DIRECTOR)
(817) 729-1150
Entity
Organization
Contact information
Practice address
1516 E MAGNOLIA AVE, FORT WORTH, TX 76104-5623
(817) 729-1150
Mailing address
PO BOX 1334, FORT WORTH, TX 76101-1334
(817) 729-1150
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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