Organization
T4T SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUCONDRA HOLLOWAY (OWNER)
(254) 421-0678
Entity
Organization
Contact information
Practice address
1225 E PLEASANT RUN RD APT 1509, DESOTO, TX 75115-4248
(254) 421-0678
Mailing address
1225 E PLEASANT RUN RD APT 1509, DESOTO, TX 75115-4248
(254) 421-0678
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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