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Organization

BEHAVIORAL HEALTH GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEAN BELL WILLIAMS M.ED (CLINICAL DIRECTOR)
(214) 632-1575
Entity
Organization

Contact information

Practice address
209 WOODY TRL, LAKE DALLAS, TX 75065-3125
(214) 632-1575
(940) 497-0674
Mailing address
209 WOODY TRL, LAKE DALLAS, TX 75065-3125
(940) 497-0674

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10828
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LP0007914
TX
Enumeration date
07/30/2007
Last updated
08/09/2007
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