Organization
COMMUNITY AWARENESS CENTER
Active
Other names
Legacy Minds and Cognitive Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA FAGAN (RN)
(682) 405-4998
Entity
Organization
Contact information
Practice address
2379 GUS THOMASSON RD, MESQUITE, TX 75150-5302
(682) 405-4998
Mailing address
2379 GUS THOMASSON RD, MESQUITE, TX 75150-5302
(682) 405-4998
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
04/03/2025
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