Organization
DSAH24 LLC
Active
Other names
TEXAS CARE WAXAHACHIE
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GEORGE SULLIVAN (AUTHORIZED OFFICIAL)
(281) 733-7525
Entity
Organization
Contact information
Practice address
101 W MAIN ST, WAXAHACHIE, TX 75165-0405
(281) 733-7525
Mailing address
101 W MAIN ST, WAXAHACHIE, TX 75165-0405
(281) 733-7525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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