SUNDANCE BEHAVIORAL HEALTH CARE INC NPI 1235157165

NPI Information

SUNDANCE BEHAVIORAL HEALTH CARE, INC is a counselor in Fort Worth, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SUNDANCE BEHAVIORAL HEALTH CARE, INC NPI is 1235157165. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sundance Behavioral Healthcare.

The provider's business location address is:

2707 AIRPORT FWY
FORT WORTH, TX
ZIP 76111-370
Phone: (817) 222-9191
Fax: (817) 222-9797

The provider's authorized official is Padmanabha Raju Indukuri .
The authorized official title is Owner and has the following contact phone number (817) 222-9191.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 3/10/2017.

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:

Other Identifiers

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