Organization
PASSAGE OF YOUTH FAMILY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE PERKINS (DIRECTOR)
(214) 928-9292
Entity
Organization
Contact information
Practice address
1623 RIVERWAY, DALLAS, TX 75217
(214) 928-9292
(214) 928-9211
Mailing address
1623 RIVERWAY DR, DALLAS, TX 75217-2656
(214) 928-9292
(214) 928-9211
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1079686-6591
TX
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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