Organization
VIVERI YOUTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ORME (CEO)
(775) 233-7389
Entity
Organization
Contact information
Practice address
1719 ANALOG DR, RICHARDSON, TX 75081-1944
(214) 812-9802
(512) 900-8325
Mailing address
1719 ANALOG DR, RICHARDSON, TX 75081-1944
(214) 812-9802
(512) 900-8325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11586
TX
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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