Organization
CORE BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY ALAYON (OWNER / AUTHORIZED OFFICIAL)
(940) 391-8909
Entity
Organization
Contact information
Practice address
2801 DENTON TAP RD APT 418, LEWISVILLE, TX 75067-8158
(940) 391-8909
Mailing address
2801 DENTON TAP RD APT 418, LEWISVILLE, TX 75067-8158
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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