Individual
AMANDA GALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
2300 TIMBERLINE DR, GRAPEVINE, TX 76051-4323
(281) 826-1845
Mailing address
2300 TIMBERLINE DR, GRAPEVINE, TX 76051-4323
(281) 826-1845
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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