Organization
STRONG LEGACY YOUTH SERVICES, LLC
Active
Other names
Strong Foundation Youth Initiative
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ASHFORD (CEO)
(804) 267-1899
Entity
Organization
Contact information
Practice address
1140 EMPIRE CENTRAL PL, 106E, DALLAS, TX 75247-4317
(678) 362-9955
(866) 379-8708
Mailing address
1140 EMPIRE CENTRAL PL, 106E, DALLAS, TX 75247-4317
(678) 362-9955
(866) 379-8708
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/27/2009
Last updated
04/01/2009
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