Organization
DIVINITY YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA M GARRETT-SPEARS LBSW (FOUNDER)
(469) 245-9640
Entity
Organization
Contact information
Practice address
108 CAMBRIDGE DR, CEDAR HILL, TX 75104-2716
(469) 245-9640
(972) 291-1342
Mailing address
108 CAMBRIDGE DR, CEDAR HILL, TX 75104-2716
(469) 245-9640
(972) 291-1342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
52756
TX
Other
Enumeration date
08/16/2010
Last updated
11/02/2010
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