Provider Demographics
NPI:1245479484
Name:ARWT,LLC
Entity type:Organization
Organization Name:ARWT,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOCIALWORKER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:956-687-4673
Mailing Address - Street 1:4301 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3008
Mailing Address - Country:US
Mailing Address - Phone:956-687-4673
Mailing Address - Fax:956-687-4691
Practice Address - Street 1:4301 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3008
Practice Address - Country:US
Practice Address - Phone:956-687-4673
Practice Address - Fax:956-687-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation