Organization
SAFE SPACE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERDINAND AKOKO APRN (OWNER)
(469) 233-8805
Entity
Organization
Contact information
Practice address
10349 COACH HOUSE LN, FRISCO, TX 75035-6959
(469) 233-8805
Mailing address
10349 COACH HOUSE LN, FRISCO, TX 75035-6959
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
02/26/2024
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