OrganizationActive
A New Beginning888
NPI 1598901522 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Worth, TX
Provider details
- NPI number
- 1598901522
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Adrine Patrick, Owner(817) 615-8602
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
11208 Pleasant Wood Ln
Fort Worth, TX 76140-6538
Phone: (817) 875-5067
Fax: (817) 615-8602
Approximate (ZIP-level) locationGet directions
Mailing address
11208 Pleasant Wood Ln
Fort Worth, TX 76140-6538
Registry dates
- Enumerated
- 2008-12-22
- Last updated
- 2008-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.