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2203 Huntington Dr Wylie TX 75098-7164 | |
| (214) 676-9406 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2203 Huntington Dr, Wylie, Texas |
| Authorized Official Name and Position | Wisdom Anyagwa (PROGRAM MANAGER) |
| Authorized Official Contact | 2146769406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2203 Huntington Dr Wylie TX 75098-7164 Ph: (214) 676-9406 | 2203 Huntington Dr Wylie TX 75098-7164 Ph: (214) 676-9406 |
| NPI Number | 1750989067 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750989067 | NPI | - | NPPES |
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