1 Tlc:transformative Life Center

NPI #1164896122 in Desoto, Texas

Provider Information

NPI Number: 1164896122
Entity Type: Organization
Organization Name: 1 Tlc:transformative Life Center
Primary Specialty: Foster Care Agency
Enumeration Date: Nov 13, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 1229 E PLEASANT RUN RD
City: Desoto
State: Texas
ZIP Code: 75115-4209
Phone: (469) 774-3053

Authorized Official

Name: DEMETRA DONALDSON
Title: EXECUTIVE DIRECTOR
Phone: (469) 774-3053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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