Organization
JAMAICAN MOON GROUP, LLC
Active
Other names
All American Research
Organization subpart
No
Provider details
NPI number
Authorized official
BOB SCOUTEN (PRESIDENT)
(214) 222-2100
Entity
Organization
Contact information
Practice address
1050 N WESTMORELAND RD, DALLAS, TX 75211-2444
(214) 330-4111
Mailing address
930 W MAIN ST, LEWISVILLE, TX 75067-3644
(214) 222-2100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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