THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER


Address: 1855 E. Lancaster Ave., Fort Worth, TX 76103-2123
Phone: 8173441831

THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER (NPI# 1053918151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053918151
Entity Type Organization
Organization Name THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER
Practice Address 1855 E. Lancaster Ave.
Fort Worth
TX 76103-2123
Practice Telephone 8173441831
Practice Fax Number 8173389251
Mailing Telephone 8173441831
Mailing Fax Number 8173389251
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Authorized Official Name AUSTRUBERTO FLORES III (ASSISTANT TREASURER)
Authorized Official Telephone 4047281300
Is Organization Subpart Y
Parent Organization Name THE SALVATION ARMY, A GEORGIA CORP.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX UEIN (DUNS) 124732699 01

Office Location

Street Address 1855 E. LANCASTER AVE.
City FORT WORTH
State TX
Zip Code 76103-2123

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NPI Name Taxonomy Address Enumeration
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1790095347 Stephanie Ann Adams Counselor 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 2010-10-18
1376797407 South Texas Dental Associates, L.p. Dentist 4229 East Lancaster Ave., Fort Worth, TX 76103 2008-11-17
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1700073434 Brentwood Stair Chiropractic Chiropractor 4809 Brentwood Stair Rd, Fort Worth, TX 76103 2007-09-26
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629580287 Arise Recovery Centers of America, LLC Substance Abuse Rehabilitation Facility 6115 Camp Bowie Blvd Ste 220, Fort Worth, TX 76116-5543 2017-11-03
1558818534 Clearfork Academy Lp Substance Abuse Rehabilitation Facility 7820 Hanger Cut Off, Fort Worth, TX 76135 2016-09-07
1033453170 Sober By Grace, Inc. Substance Abuse Rehabilitation Facility 2451 Bomar Ave, Fort Worth, TX 76103-2211 2012-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801496302 Sunrise Rehab and Recovery, LLC Substance Abuse Rehabilitation Facility 1106 N Interstate 35, San Marcos, TX 78666-7030 2020-10-26
1124627443 Resurgence Texas Substance Abuse Rehabilitation Facility 10703 Ranch Road 12, Wimberley, TX 78676-5239 2020-10-19
1174139364 Voice To Discovery Community Substance Abuse Rehabilitation Facility 7811 Hornwood Dr, Houston, TX 77036-4115 2020-09-22
1093329484 Alara Health Substance Abuse Rehabilitation Facility 4731 County Road 172, Alvin, TX 77511-0325 2020-09-02
1659982437 Oliver-west Health and Wellness Center Substance Abuse Rehabilitation Facility 9009 Boone Rd Ste A, Houston, TX 77099-2033 2020-08-13
1730798893 Starlite Recovery Center, LLC Substance Abuse Rehabilitation Facility 2210 Bandera Hwy Ste C-1, Kerrville, TX 78028-6609 2020-07-24
1043837644 Alaine Detox Center LLC Substance Abuse Rehabilitation Facility 3505 Sage Rd Unit 2504, Houston, TX 77056-7183 2020-06-30
1821614181 Lighthouse Recovery Centers, LLC Substance Abuse Rehabilitation Facility 5344 Alpha Rd, Dallas, TX 75240-3428 2020-06-23
1306460266 Revive F W Substance Abuse Rehabilitation Facility 10907 Martindale Rd, Houston, TX 77048-2011 2020-06-05
1396365870 Texas Health Recovery and Wellness Center Substance Abuse Rehabilitation Facility 240 N Miller Rd, Mansfield, TX 76063-5842 2020-04-24
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Competitor

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City FORT WORTH
Zip Code 76103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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