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Wise Ccc
Adolescent and Children Mental Health Clinic/Center in Decatur, Texas
NPI 1407504939

Wise Ccc is an Adolescent and Children Mental Health Clinic/Center based in Decatur, TX and is specialized in Adolescent and Children Mental Health. Wise Ccc practices in Decatur, TX. The NPI Number for Wise Ccc is 1407504939 and holds a License No. (Texas).

The current practice location address for Wise Ccc is 1650 S Fm 51 Ste 400, Decatur, TX and can be reached out via phone at 940-627-1618 and via fax at 940-393-0429.

Location: 1650 S Fm 51 Ste 400, Decatur, TX, 76234-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407504939
Provider Name
Wise Ccc
Credential
Provider Entity Type
Organization
Address
1650 S Fm 51 Ste 400, Decatur, TX, 76234-3630
Phone Number
940-627-1618
Fax Number
940-393-0429
Provider Enumeration Date
03/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1650 S Fm 51 Ste 400
City
Decatur
State
Texas
Zip
76234-3630
Phone Number
940-627-1618
Fax Number
940-393-0429
person
Provider Business Mailing Address Details
Address
1650 S Fm 51 Ste 400
City
Decatur
State
Texas
Zip
76234-3630
Phone Number
940-627-1618
Fax Number
940-393-0429
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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