Organization
YOUTH ADVOCATE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA BUTLER LPC (EXECUTIVE DIRECTOR)
(214) 821-6505
Entity
Organization
Contact information
Practice address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
(214) 821-6505
(214) 821-6504
Mailing address
4225 OFFICE PARKWAY, DALLAS, TX 75204
(214) 821-6505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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