Centro De Mi Salud | |
628 Centre St Dallas TX 75208-6328 | |
(214) 941-0798 | |
(214) 941-0408 |
Full Name | Centro De Mi Salud |
---|---|
Speciality | Counselor - Mental Health |
Location | 628 Centre St, Dallas, Texas |
Authorized Official Name and Position | Micheal Christopher Raven (QMHP) |
Authorized Official Contact | 2149410798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centro De Mi Salud 13043 George Foster Rd Ponder TX 76259-4009 Ph: (214) 941-0798 | Centro De Mi Salud 628 Centre St Dallas TX 75208-6328 Ph: (214) 941-0798 |
NPI Number | 1952555153 |
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Provider Enumeration Date | 11/14/2008 |
Last Update Date | 11/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952555153 | NPI | - | NPPES |
1043204019 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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