National Provider Identifier Database

GALLUS DETOX DALLAS
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

GALLUS DETOX DALLAS
1776 US-287
STE 250
MANSFIELD, TX76063
Phone: 928-533-0872
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for GALLUS DETOX DALLAS

NPI Number 1073284402
Legal business name
LBN
GALLUS DETOX DALLAS
Authorized official GEORGINA CARROLL - (DIRECTOR OF CLINICAL OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 09/24/2021
Last updated 01/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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