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General NPI Number Information
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NPI Number | 1255263059
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD TREATMENT CENTER LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 1034 CONDOR DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-3349
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Country | US
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Telephone | 214-212-3842
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Fax |
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Provider Business Mailing Address
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Address Line | 1652 AMBERCREST DR
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City | LANCASTER
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State | TX
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Zip | 75146-4942
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Country | US
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Telephone | 214-212-3842
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SARITA FONTAINE
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Credential |
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Telephone | 214-212-3842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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