Provider Demographics
NPI:1306202411
Name:NORTH TEXAS COMMUNITY INITIATIVE, INC.
Entity Type:Organization
Organization Name:NORTH TEXAS COMMUNITY INITIATIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-680-5553
Mailing Address - Street 1:5811 GLOUCESTER CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-2384
Mailing Address - Country:US
Mailing Address - Phone:214-680-5553
Mailing Address - Fax:
Practice Address - Street 1:5811 GLOUCESTER CT
Practice Address - Street 2:SUITE 101
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-2384
Practice Address - Country:US
Practice Address - Phone:214-680-5553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health