Individual
EBONY S PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 W WILLOW CREEK DR, GLENN HEIGHTS, TX 75154-1879
(469) 245-7066
Mailing address
329 W WILLOW CREEK DR, GLENN HEIGHTS, TX 75154-1879
(469) 245-7066
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
09/17/2024
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