| Nclb- No Child Left Behind Inc. | |
|
2701 S Great Southwest Pkwy Grand Prairie TX 75052-7231 | |
| (972) 922-2761 | |
| Not Available |
| Full Name | Nclb- No Child Left Behind Inc. |
|---|---|
| Speciality | Non-emergency Medical Transport (van) |
| Location | 2701 S Great Southwest Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Fatesa Bateman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9729222761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nclb- No Child Left Behind Inc. 2701 S Great Southwest Pkwy Grand Prairie TX 75052-7231 Ph: () - | Nclb- No Child Left Behind Inc. 2701 S Great Southwest Pkwy Grand Prairie TX 75052-7231 Ph: (972) 922-2761 |
| NPI Number | 1598168866 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598168866 | NPI | - | NPPES |
| 9729222761 | Other | TX | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Primary |
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