NPI 1487318671

1derfull Minds, INC.

Organisation Community/Behavioral Health Agency Desoto, TX

Practice location

Address: 631 Cresent Dr, Desoto, TX 75115-8017
Phone: (469) 235-2390
Fax: (972) 637-7576

Authorised official

Name: Ella Marie Miles
Title: President/Program Manager
Phone: (469) 235-2390

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Texas →

Registry record

NPI: 1487318671
Entity type: Organization
NPI issued: 25 Oct 2021
Record last updated: 29 Sep 2023

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.