Organization
ST ANTHONYS HOUSE
Active
Other names
Texas Family Support
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCIA E JURGELA LPC (CEO)
(801) 678-3317
Entity
Organization
Contact information
Practice address
1713 QUARRY LN, MCKINNEY, TX 75070-5080
(801) 678-3317
Mailing address
1713 QUARRY LN, MCKINNEY, TX 75070-5080
(801) 678-3317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3774622-01
—
TX
Enumeration date
04/30/2018
Last updated
05/07/2018
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