Community Wellness And Intervention
Clinic/Center, Primary Care in Desoto, TX. Organization (NPI-2).
NPI number1477316966
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1477316966
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Wellness And Intervention
- Organization subpart
- No
- Enumeration date
- Feb 6, 2024
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Other names
- Community Texas (Doing Business As)
Practice location
951 York Dr Ste 104Desoto, TX 75115-2052
Phone 216-278-1292
Mailing address
951 York Dr Ste 104Desoto, TX 75115-2052
Phone 216-278-1292
Authorized official
Sheonkei M Givner
Owner
6145004150
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