Organization
DARIUS PETTWAY LIFE SKOOL CORPORATION
Active
Other names
Life Skool
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIUS D PETTWAY MA (CEO)
(214) 945-0642
Entity
Organization
Contact information
Practice address
4849 W ILLINOIS AVE, DALLAS, TX 75211-6503
(214) 945-0642
Mailing address
PO BOX 210061, DALLAS, TX 75211-0061
(214) 945-0642
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/04/2023
Last updated
05/21/2024
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