Organization
MAGNOLIA THERAPEUTIC SOLUTIONS
Active
Other names
Magnolia Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAKEITHDRA RASHAE LEE RN (RN - CASE MANAGER)
(281) 630-2328
Entity
Organization
Contact information
Practice address
1630 FALCON DR, SUITE 104, DESOTO, TX 75115-2416
(281) 630-2328
Mailing address
1630 FALCON DR, SUITE 104, DESOTO, TX 75115-2416
(281) 630-2328
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
10/02/2017
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