Waterford Academy LLC
NPI #1205256211 in Flower Mound, Texas
Provider Information
- NPI Number
- 1205256211
- Entity Type
- Organization
- Organization Name
- Waterford Academy LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 17, 2014
- Last Updated
- Apr 17, 2014
Practice Location
- Address
- 1033 LONG PRAIRIE RD STE 3
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75022-4230
- Phone
- (972) 355-9083
Authorized Official
- Name
- MR. MARK PETTY
- Title
- OWNER
- Phone
- (972) 365-5318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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