Organization
C3 CHRISTIAN ACADEMY, INC.
Active
Organization
C3 CHRISTIAN ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISHA ANN EVANS-DAVIS RN (PROGRAM ADMINISTRATOR)
(817) 875-2535
Entity
Organization
Contact information
Practice address
2001 108TH ST, STE. 102, GRAND PRAIRIE, TX 75050-1437
(972) 623-2322
(972) 623-2322
Mailing address
2001 108TH ST, STE. 102, GRAND PRAIRIE, TX 75050-1437
(972) 623-2322
(972) 623-2322
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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