CENIKOR FOUNDATION NPI 1427371814

NPI Information

NPI: 1427371814
Provider Name: CENIKOR FOUNDATION
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 45D2165982

Address:
2209 SOUTH MAIN STREET
FORT WORTH, TX
ZIP 76110
Phone: (817) 921-2771
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CENIKOR FOUNDATION is a rehabilitation and substance use disorder clinic center in Fort Worth, TX. CENIKOR FOUNDATION NPI is 1427371814. The provider is registered as an organization entity type.

The provider's business location address is:

2209 SOUTH MAIN STREET
FORT WORTH, TX
ZIP 76110
Phone: (817) 921-2771
Fax: (817) 926-0301

The provider's authorized official is Matt Kuhlman .
The authorized official title is Cfo and has the following contact phone number (713) 266-9944.

The CLIA number assigned to this NPI record is 45D2165982 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2010 and was last updated on 11/10/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	251S00000X	Community/Behavioral Health		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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