AUTISM TREATMENT CENTER REHABILITATION AGENCY; NPI #1073063871

Contact Information

AUTISM TREATMENT CENTER REHABILITATION AGENCY

10610 METRIC DR
#101
DALLAS, TX 75243-5581

Phone: 214-221-4405
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency
Rehabilitation Hospital	283X00000X	A0[7]	Hospital-Rehabilitation (PPS excluded)

Indicates primary specialty

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NPI Profile & details for AUTISM TREATMENT CENTER REHABILITATION AGENCY

NPI # 1073063871

LBN Legal business name AUTISM TREATMENT CENTER REHABILITATION AGENCY

Authorized official LORETTA OUTLAW-LAM - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/05/2016

Last updated 10/05/2016 - About 10 years ago

Identifiers

License #

108938

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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