| Applied Growth Behavioral Health Service Llc | |
|
2302 Holland St Marshall TX 75670-5900 | |
| (318) 655-6892 | |
| Not Available |
| Full Name | Applied Growth Behavioral Health Service Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2302 Holland St, Marshall, Texas |
| Authorized Official Name and Position | Hasim Akeem Jones (OWNER) |
| Authorized Official Contact | 3186556892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Growth Behavioral Health Service Llc 2302 Holland St Marshall TX 75670-5900 Ph: (318) 655-6892 | Applied Growth Behavioral Health Service Llc 2302 Holland St Marshall TX 75670-5900 Ph: (318) 655-6892 |
| NPI Number | 1104684000 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104684000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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