Provider Demographics
NPI:1750728275
Name:THE CENTRE FOR PASTORAL CARE AND COUNSELING
Entity type:Organization
Organization Name:THE CENTRE FOR PASTORAL CARE AND COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:D MIN
Authorized Official - Phone:817-953-3064
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76101-0341
Mailing Address - Country:US
Mailing Address - Phone:817-953-3064
Mailing Address - Fax:817-953-3093
Practice Address - Street 1:400 HEMPHILL ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2216
Practice Address - Country:US
Practice Address - Phone:817-953-3064
Practice Address - Fax:817-953-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health