Organization Name: | SENIOR MENTAL HEALTH SOLUTIONS, LP |
NPI Number: | 1083797443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARVIN KEITH MCGARRAHAN (OWNER) |
Mailing Address: | 109 Manor Court North Willow Park |
State: | TX US |
Postal Code: | 760873002 |
Phone Number: | 8175228263 |
Fax Number: | 8174411916 |
NPI Enumeration Date: | 10/21/2006 |
NPI Last Update Date: | 07/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |