NPI 1568178630

Serita Miller

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Grand Prairie, TX

Practice location

Address: 430 Beatty Dr, Grand Prairie, TX 75052-6405
Phone: (646) 750-8236

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1568178630
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2023
Record last updated: 4 Apr 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.

Contact

(646) 750-8236 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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