Organization
KEYSTONE PSYCHIATRIC CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ASAFU-ADJAYE RN (ADMINISTRATOR)
(972) 262-9501
Entity
Organization
Contact information
Practice address
524 TERESA LN, GRAND PRAIRIE, TX 75052-2813
(972) 262-9501
(972) 262-9500
Mailing address
524 TERESA LN, GRAND PRAIRIE, TX 75052-2813
(972) 262-9501
(972) 262-9500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
630479
TX
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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