Organization
CHARACTER FIRST IOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY FONTENOT LCSW (DIRECTOR OF ADMISSIONS)
(214) 995-9566
Entity
Organization
Contact information
Practice address
5115 MCKINNEY AVE STE B, DALLAS, TX 75205-3334
(214) 902-9881
Mailing address
5115 MCKINNEY AVE STE B, DALLAS, TX 75205-3334
(214) 902-9881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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