NPI | 1164138715 |
---|---|
Doing Business As | MEADOWS OUTPATIENT CENTER DALLAS |
Entity Type | Organization |
Authorized Contact | TRACY LIVINGSTON Vice President Revenue Cycle 928-267-2460 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-04-03 |