Organization · Type 2 NPI

S Shelby Community Development Corporation

Substance Abuse Rehabilitation Facility · Fort Worth, TX

NPI number 1932330255 Active

Practice location

3829 E Loop 820 S Ste 210
Fort Worth, TX 76119-4337

Mailing address

PO Box 19153
Fort Worth, TX 76119-1153

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed
Non-emergency Medical Transport (VAN) 343900000X18616798 (TX)
Private Vehicle 347C00000X18616798 (TX)

Substance Abuse Rehabilitation Facility: 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.

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About NPI 1932330255

S Shelby Community Development Corporation's National Provider Identifier is 1932330255, issued on Aug 4, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 4, 2009.