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303 S Highway 78 Suite 100 Wylie TX 75098-3944 | |
| (469) 342-3468 | |
| (469) 342-3466 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 303 S Highway 78, Wylie, Texas |
| Authorized Official Name and Position | Vanessa Gill (DIRECTOR/THERAPIST) |
| Authorized Official Contact | 4693423468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
303 S Highway 78 Suite 100 Wylie TX 75098-3944 Ph: (469) 342-3468 | 303 S Highway 78 Suite 100 Wylie TX 75098-3944 Ph: (469) 342-3468 |
| NPI Number | 1295076560 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295076560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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