KINDRED BH ACQUISITION 2 LLC NPI 1285258640

NPI Information

KINDRED BH ACQUISITION 2, LLC is a psychiatric hospital in Fort Worth, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. KINDRED BH ACQUISITION 2, LLC NPI is 1285258640. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellbridge Healthcare Fort Worth.

The provider's business location address is:

6200 OVERTON RIDGE BLVD
FORT WORTH, TX
ZIP 76132-614
Phone: (817) 361-1991
Fax: (817) 361-1993

The provider's authorized official is Terrance Dillon .
The authorized official title is Ao / Assistant Secretary and has the following contact phone number (502) 596-7220.

The CLIA number assigned to this NPI record is 45D2072603 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2020 and was last updated on 8/18/2020.

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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