Organization
YOUTH ADVOCATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE COLLINS (QMHP)
81768378111
Entity
Organization
Contact information
Practice address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
(817) 683-7811
Mailing address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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