Organization
GREENSIDE 25 INCORPORATED
Active
Other names
Compassionate Connections
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE HAWKINS (PROGRAM MANAGER)
(214) 208-5920
Entity
Organization
Contact information
Practice address
2428 KATINA DR, FLOWER MOUND, TX 75028-7578
(214) 208-5920
Mailing address
2428 KATINA DR, FLOWER MOUND, TX 75028-7578
(214) 208-5920
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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