Organization
THE WILLIS GROUP- MOVING FORWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIS (OWNER)
(214) 927-6179
Entity
Organization
Contact information
Practice address
4100 SPRING VALLEY RD, 612, FARMERS BRANCH, TX 75244-3629
(214) 927-6179
Mailing address
609 S GOLIAD ST, STE. 612, ROCKWALL, TX 75087-4003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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