Organization
DESTIN YOUTH & TRANSITIONAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA RENA THOMPSON-COOPER (DIRECTOR)
(817) 723-9676
Entity
Organization
Contact information
Practice address
5819 CANDLELIGHT LN, GRAND PRAIRIE, TX 75052-8591
(817) 723-9676
Mailing address
5819 CANDLELIGHT LN, GRAND PRAIRIE, TX 75052-8591
(817) 723-9676
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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