MIDCITIES CENTER FOR CHANGE, LLC
Agencies at Industrial Blvd, Euless, TX

License number
Texas 50547
Category
Agencies
Type
Community/Behavioral Health
License number
Texas 65300
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: KEN ALVIN BENNETT JR. LCSW, CART
Title: PARTNER
Phone: (817) 917-2335
Address
Address
610 S Industrial Blvd SUITE 307, Euless, TX 76040
National Provider ID: 1427354729
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MIDCITIES CENTER FOR CHANGE, LLC

610 S Industrial Blvd STE 307, Euless, TX 76040

Registration:
Jul 27, 2010
State ID:
0801298341
Business type:
Domestic Limited Liability Company (LLC)
Director, Managing Members:
Courtney Janes (Member, Director, Managing Member), 610 S Industrial Blvd STE 3, Euless, TX 76040,Ken Bennett (Member), 610 S Industrial Blvd STE 3, Euless, TX 76040,Kenneth Bennett (Director, Managing Member)
Agent:
Courtney L Janes,610 S Industrial Blvd, Euless, TX 76040 (Physical)
TIN:
32042322431

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