NPI 1083039226

Passage of Youth Family Center, INC.

Organisation Exclusive Provider Organization Dallas, TX

Practice location

Address: 1623 Riverway, Dallas, TX 75217
Phone: (214) 928-9292
Fax: (214) 928-9211
Mailing address: 1623 Riverway Dr, Dallas, TX 75217-2656

Authorised official

Name: Terrance Perkins
Title: Director
Phone: (214) 928-9292

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1079686-6591 (TX)

Other Exclusive Provider Organization providers in Texas →

Registry record

NPI: 1083039226
Entity type: Organization
NPI issued: 25 Feb 2014
Record last updated: 25 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.