Provider Demographics
NPI:1568241230
Name:NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS
Entity Type:Organization
Organization Name:NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:EASTLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-695-9101
Mailing Address - Street 1:PO BOX 5888
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-5888
Mailing Address - Country:US
Mailing Address - Phone:817-640-3300
Mailing Address - Fax:817-695-9274
Practice Address - Street 1:616 SIX FLAGS DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-6347
Practice Address - Country:US
Practice Address - Phone:817-640-3300
Practice Address - Fax:817-695-9274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management