Organization
JENNIFER WILLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIS (OWNER)
(214) 927-6179
Entity
Organization
Contact information
Practice address
1684 HICKORY CREEK LN, ROCKWALL, TX 75032-7363
(214) 927-6179
Mailing address
1684 HICKORY CREEK LN, ROCKWALL, TX 75032-7363
(214) 927-6179
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
251S00000X
Community/Behavioral Health Agency
—
TX
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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