Organization
FRESH START COUNSELING AND TREATMENT CENTER
Active
Other names
Gladys Lowry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS LOWRY (SPONSOR)
(972) 365-9534
Entity
Organization
Contact information
Practice address
215 EXECUTIVE WAY STE 140B, DESOTO, TX 75115-2396
(972) 298-1146
(972) 298-1170
Mailing address
215 EXECUTIVE WAY STE 140B, DESOTO, TX 75115-2396
(972) 298-1146
(972) 298-1170
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
1000032
TX
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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