Organization Name: | STRONG LEGACY YOUTH SERVICES, LLC |
NPI Number: | 1174765861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ASHFORD (CEO) |
Mailing Address: | 1140 Empire Central Pl 106e Dallas |
State: | TX US |
Postal Code: | 752474317 |
Phone Number: | 6783629955 |
Fax Number: | 8663798708 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |