AUTISM TREATMENT CENTER REHABILITATION AGENCY NPI 1073063871

NPI Information

NPI: 1073063871
Provider Name: AUTISM TREATMENT CENTER REHABILITATION AGENCY
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
10610 METRIC DR
#101
DALLAS, TX
ZIP 75243
Phone: (214) 221-4405
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AUTISM TREATMENT CENTER REHABILITATION AGENCY is a rehabilitation clinic center in Dallas, TX. AUTISM TREATMENT CENTER REHABILITATION AGENCY NPI is 1073063871. The provider is registered as an organization entity type.

The provider's business location address is:

10610 METRIC DR
#101
DALLAS, TX
ZIP 75243-581
Phone: (214) 221-4405

The provider's authorized official is Loretta Outlaw-lam .
The authorized official title is Administrator and has the following contact phone number (469) 341-0103.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283X00000X	Rehabilitation Hospital				No
2	261QR0400X	Clinic/Center	Rehabilitation	108938	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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