Organization
AUTISTIC TREATMENT CENTER INC
Active
Other names
AUTISM TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA E. GOLDEN OTR, OTD (ADMINISTRATOR)
(817) 566-1111
Entity
Organization
Contact information
Practice address
1100 CIRCLE DR, STE. 101, FORT WORTH, TX 76119-8111
(817) 566-1100
(817) 536-6945
Mailing address
1100 CIRCLE DR, STE. 101, FORT WORTH, TX 76119-8111
(817) 566-1100
(817) 536-6945
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
10/09/2013
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