Organization
E&D BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ODOM (DIRECTOR OF OPERATIONS)
(469) 734-1297
Entity
Organization
Contact information
Practice address
4829 NORTH O'CONNOR RD SUITE 265, IRVING, TX 75062
(469) 734-1297
Mailing address
4829 N. O'CONOR RD #265, IRVING, TX 75062
(469) 734-1297
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07954693
—
TX
Enumeration date
08/08/2022
Last updated
08/08/2022
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