Organization
MENTAL HEALTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOORAJ MAGHSOUDLOU (OWNER)
(214) 562-9180
Entity
Organization
Contact information
Practice address
556 BUFFALO CREEK DR, DESOTO, TX 75115-5328
(214) 562-9180
Mailing address
556 BUFFALO CREEK DR, DESOTO, TX 75115-5328
(214) 562-9180
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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