| NPI | 1003305418 |
|---|---|
| Doing Business As | FORT BEHAVIORAL |
| Entity Type | Organization |
| Authorized Contact | BENARD A SODEK Controller 817-678-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-06-04 |