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Organization
LONGEVITY BEHAVIORAL HEALTH CENTER LLC
Active
Organization
LONGEVITY BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M JOHNSON (OWNER)
(214) 636-8530
Entity
Organization
Contact information
Practice address
11024 GOLD PAN TRL, AUBREY, TX 76227-4198
(214) 636-8530
Mailing address
11024 GOLD PAN TRL, AUBREY, TX 76227-4198
(214) 636-8530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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