FAITH RECOVERY TREATMENT CENTER NPI 1720591647

NPI Information

NPI: 1720591647
Provider Name: FAITH RECOVERY TREATMENT CENTER
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
3024 MAHANNA SPRINGS DR APT D
DALLAS, TX
ZIP 75235
Phone: (202) 520-5237
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FAITH RECOVERY TREATMENT CENTER is a recovery care clinic center in Dallas, TX. FAITH RECOVERY TREATMENT CENTER NPI is 1720591647. The provider is registered as an organization entity type.

The provider's business location address is:

3024 MAHANNA SPRINGS DR APT D
DALLAS, TX
ZIP 75235-735
Phone: (202) 520-5237
Fax: (888) 639-9004

The provider's authorized official is Shanekia Dysha Selby .
The authorized official title is Founder and has the following contact phone number (202) 520-5237.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0800X	Clinic/Center	Recovery Care			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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