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Organization
ICARE YOUTH SERVICES
Active
Organization
ICARE YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAINETTE JONES RBT (EXECUTIVE DIRECTOR)
(469) 297-4571
Entity
Organization
Contact information
Practice address
173 SNAPDRAGON LN, WAXAHACHIE, TX 75165-2681
(469) 297-4571
Mailing address
173 SNAPDRAGON LN, WAXAHACHIE, TX 75165-2681
(469) 297-4571
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/10/2020
Last updated
01/05/2023
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