1derfull Minds, Inc.

NPI #1487318671 in Desoto, Texas

Provider Information

NPI Number
1487318671
Entity Type
Organization
Organization Name
1derfull Minds, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 25, 2021
Last Updated
Sep 29, 2023

Practice Location

Address
631 CRESENT DR
City
Desoto
State
Texas
ZIP Code
75115-8017
Phone
(469) 235-2390

Authorized Official

Name
ELLA MARIE MILES, BBA, LVN
Title
PRESIDENT/PROGRAM MANAGER
Phone
(469) 235-2390

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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