| Youth In View | |
|
821 S Polk St Apt 322 Desoto TX 75115-7593 | |
| (469) 360-1032 | |
| Not Available |
| Full Name | Youth In View |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 821 S Polk St Apt 322, Desoto, Texas |
| Authorized Official Name and Position | Dougasl A Umoru (CEO) |
| Authorized Official Contact | 4693601032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth In View 821 S Polk St Apt 322 Desoto TX 75115-7593 Ph: (469) 360-1032 | Youth In View 821 S Polk St Apt 322 Desoto TX 75115-7593 Ph: (469) 360-1032 |
| NPI Number | 1992955827 |
|---|---|
| Provider Enumeration Date | 09/28/2008 |
| Last Update Date | 09/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992955827 | NPI | - | NPPES |
| 1747073 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7916 (Texas) | Primary |
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