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Organization
COMMUNITY AWARENESS CENTER
Active
Organization
COMMUNITY AWARENESS CENTER
Active
Other names
Legacy Minds and Cognitive Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA FAGAN (RN)
(682) 405-4998
Entity
Organization
Contact information
Practice address
2379 GUS THOMASSON RD, MESQUITE, TX 75150-5302
(682) 405-4998
Mailing address
2379 GUS THOMASSON RD, MESQUITE, TX 75150-5302
(682) 405-4998
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
04/03/2025
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