FULLER BEHAVIOR PROGRAM

GRAND PRAIRIE, TX
NPI1710246293
Entity TypeOrganization
Authorized ContactMELVIN FULLER
CEO
214-760-9573
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-05-03
Last Update Date2012-05-03
Business Address
FULLER BEHAVIOR PROGRAM
2803 RIVERSIDE PKWY APT 4502
GRAND PRAIRIE, TX 75050-8747
Phone number: 214-760-9573
Mailing Address
FULLER BEHAVIOR PROGRAM
2803 RIVERSIDE PKWY APT 4502
GRAND PRAIRIE, TX 75050-8747
Phone number: 214-760-9573
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