Provider Demographics
NPI:1356759047
Name:THE K16 READY SOCIETY
Entity type:Organization
Organization Name:THE K16 READY SOCIETY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-885-7907
Mailing Address - Street 1:910 COLLIER ST
Mailing Address - Street 2:SUITE 227
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-3524
Mailing Address - Country:US
Mailing Address - Phone:817-885-7907
Mailing Address - Fax:817-887-4521
Practice Address - Street 1:910 COLLIER ST
Practice Address - Street 2:SUITE 227
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3524
Practice Address - Country:US
Practice Address - Phone:817-885-7907
Practice Address - Fax:817-887-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-26
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management