Organization
ENTERHEALTH OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M KNIFFEN (PRESIDENT)
(214) 905-5090
Entity
Organization
Contact information
Practice address
8222 DOUGLAS AVE, SUITE375, DALLAS, TX 75225-5923
(214) 905-5090
Mailing address
8222 DOUGLAS AVE, SUITE 375, DALLAS, TX 75225-5923
(214) 905-5090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN 691134
TX
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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