Organization
CENTRAL PARK CHURCH OF GOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVANGELINE VARGAS (TEACHER)
(972) 358-7577
Entity
Organization
Contact information
Practice address
3341 ELM GROVE RD, WYLIE, TX 75098-6371
(972) 358-7577
Mailing address
3341 ELM GROVE RD, WYLIE, TX 75098-6371
(972) 358-7577
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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