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Organization

MODERN PI LLC

Active
Other names
Namona
Organization subpart
No

Provider details

NPI number
Authorized official
MAGGIE JORDAN (COO)
(302) 499-4285
Entity
Organization

Contact information

Practice address
539 W COMMERCE ST # 6595, DALLAS, TX 75208-1953
(302) 499-4285
Mailing address
539 W COMMERCE ST # 6595, DALLAS, TX 75208-1953

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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