Organization
N I A KIDS YOUTH SERVICE ORG., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATARA THOMPKINS (EXECUTIVE DIRECTOR)
(972) 228-8381
Entity
Organization
Contact information
Practice address
901 N POLK ST STE 380, DESOTO, TX 75115-4021
(972) 228-8381
Mailing address
901 N POLK ST STE 380, DESOTO, TX 75115-4021
(972) 228-8381
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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