| Cto | |
|
4112 Stallion Dr Killeen TX 76549-4343 | |
| (512) 677-9020 | |
| Not Available |
| Full Name | Cto |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4112 Stallion Dr, Killeen, Texas |
| Authorized Official Name and Position | Heidi Quashie-mckie (MANAGING MEMBER) |
| Authorized Official Contact | 5126779020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cto Po Box 690291 Killeen TX 76549-0005 Ph: (512) 677-9020 | Cto 4112 Stallion Dr Killeen TX 76549-4343 Ph: (512) 677-9020 |
| NPI Number | 1255923892 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/26/2021 |
| Certification Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255923892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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