| Jonathan's Place | |
|
6065 Duck Creek Dr Garland TX 75043-3649 | |
| (972) 303-5303 | |
| Not Available |
| Full Name | Jonathan's Place |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6065 Duck Creek Dr, Garland, Texas |
| Authorized Official Name and Position | Allicia Frye (CEO) |
| Authorized Official Contact | 9723035303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan's Place Po Box 140085 Dallas TX 75214-0085 Ph: (972) 303-5303 | Jonathan's Place 6065 Duck Creek Dr Garland TX 75043-3649 Ph: (972) 303-5303 |
| NPI Number | 1174967798 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 04/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174967798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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