Organization
C4K LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ARNOLD (MANAGING MEMBER)
(972) 303-0813
Entity
Organization
Contact information
Practice address
5113 SUMMERTREE CT, GARLAND, TX 75043-2889
(972) 303-0813
Mailing address
5113 SUMMERTREE CT, GARLAND, TX 75043-2889
(972) 303-0813
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
62154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209102701
—
TX
Enumeration date
03/20/2015
Last updated
03/20/2015
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