Organization
CENTRAL BEHAVIORAL CLINIC LLC
Active
Other names
CENTRAL BEHAVIORAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMAH THIAM (RN)
(254) 803-0408
Entity
Organization
Contact information
Practice address
2919 MARKET LOOP, TEMPLE, TX 76502-1856
(254) 803-0408
Mailing address
1226 LAKEWAY CROSSING DR, TEMPLE, TX 76502-6146
(254) 803-0408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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