Organization
1 TLC:TRANSFORMATIVE LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRA DONALDSON (EXECUTIVE DIRECTOR)
(469) 774-3053
Entity
Organization
Contact information
Practice address
1229 E PLEASANT RUN RD, DESOTO, TX 75115-4209
(469) 774-3053
Mailing address
1229 E PLEASANT RUN RD STE 124, DESOTO, TX 75115-4211
(469) 774-3053
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
TX
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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