Organization
THE SAFE PLACE OF GRAND PRAIRIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYNA L EVANS (OWNER, FOUNDER, PRESIDENT)
(817) 658-5570
Entity
Organization
Contact information
Practice address
5433 PRAIRIE LN, GRAND PRAIRIE, TX 75052-0615
(817) 658-5570
Mailing address
PO BOX 541004, GRAND PRAIRIE, TX 75054-1004
(817) 658-5570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
171R00000X
Interpreter
—
—
171W00000X
Contractor
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
06/09/2011
Last updated
10/28/2011
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