| Wise Ccc | |
|
1650 S Fm 51 Ste 400 Decatur TX 76234-3630 | |
| (940) 627-1618 | |
| (940) 393-0429 |
| Full Name | Wise Ccc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1650 S Fm 51 Ste 400, Decatur, Texas |
| Authorized Official Name and Position | Beverly Joann Ross (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9406271618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Ccc 1650 S Fm 51 Ste 400 Decatur TX 76234-3630 Ph: (940) 627-1618 | Wise Ccc 1650 S Fm 51 Ste 400 Decatur TX 76234-3630 Ph: (940) 627-1618 |
| NPI Number | 1407504939 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407504939 | NPI | - | NPPES |
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