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1225762701
HOMAGE BEHAVIORAL HEALTH CLINIC LLC
GRAND PRAIRIE, TX
NPI
1225762701
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Entity Type
Organization
Authorized Contact
VICTORIA N BENSON
Director
817-323-7633
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-07-12
Last Update Date
2024-03-27
Business Address
HOMAGE BEHAVIORAL HEALTH CLINIC LLC
410 NW 11TH ST # 107
GRAND PRAIRIE, TX 75050-5416
Phone number: 817-231-0913
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Mailing Address
HOMAGE BEHAVIORAL HEALTH CLINIC LLC
110 W RANDOL MILL RD STE 201
ARLINGTON, TX 76011-4613
Phone number: 817-323-7633
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