Organization
RISINGSTARHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA ROBERTS (MANAGER)
(469) 245-4990
Entity
Organization
Contact information
Practice address
325 SQUIREBROOK DR, DESOTO, TX 75115-2914
(469) 245-4990
Mailing address
325 SQUIREBROOK DR, DESOTO, TX 75115-2914
(469) 245-4990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
04/03/2014
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