Organization
KADS MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE FONTAINE NP (OWNER)
(516) 754-2556
Entity
Organization
Contact information
Practice address
7548 PRESIN ROAD, SUITE 141, FRISCO, TX 75034
(516) 754-2556
Mailing address
19246 SANDPIPER LN, COTTONWOOD, CA 96022-7907
(516) 754-2556
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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