KINDRED BH ACQUISITION 1 LLC NPI 1821612284

NPI Information

KINDRED BH ACQUISITION 1, LLC is a psychiatric hospital in Plano, TX. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. KINDRED BH ACQUISITION 1, LLC NPI is 1821612284. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellbridge Healthcare Greater Dallas.

The provider's business location address is:

4301 MAPLESHADE LN
PLANO, TX
ZIP 75093-010
Phone: (972) 596-5445
Fax: (972) 596-2332

The provider's authorized official is Terrance Dillon .
The authorized official title is Ao / Assistant Secretary and has the following contact phone number (502) 596-7220.

The CLIA number assigned to this NPI record is 45D2078864 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2020 and was last updated on 8/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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