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Organization
MODERN PI LLC
Active
Organization
MODERN PI LLC
Active
Other names
Namona
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE JORDAN (COO)
(302) 499-4285
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST # 6595, DALLAS, TX 75208-1953
(302) 499-4285
Mailing address
539 W COMMERCE ST # 6595, DALLAS, TX 75208-1953
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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