CROSSROADS TREATMENT CENTER OF FORT WORTH PLLC NPI 1245765585

NPI Information

CROSSROADS TREATMENT CENTER OF FORT WORTH, PLLC is a methadone clinic center in Fort Worth, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CROSSROADS TREATMENT CENTER OF FORT WORTH, PLLC NPI is 1245765585. The provider is registered as an organization entity type.

The provider's business location address is:

6733 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76116-112
Phone: (817) 386-9180

The provider's authorized official is Megan Thomas .
The authorized official title is Operations Specialist For Strategic and has the following contact phone number (828) 719-2753.

The CLIA number assigned to this NPI record is 45D2128959 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2017 and was last updated on 1/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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