Provider Demographics
NPI:1265724231
Name:NORTH TEXAS NEIGHBORHOOD SERVICES,INC
Entity type:Organization
Organization Name:NORTH TEXAS NEIGHBORHOOD SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GRISELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDELLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-790-9503
Mailing Address - Street 1:4330 CIELO TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-4886
Mailing Address - Country:US
Mailing Address - Phone:214-790-9503
Mailing Address - Fax:
Practice Address - Street 1:4330 CIELO TRL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-4886
Practice Address - Country:US
Practice Address - Phone:214-790-9503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty