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Organization
AUTISTIC TREATMENT CENTER, INC.
Active
Organization
AUTISTIC TREATMENT CENTER, INC.
Active
Other names
Autism Treatment Center Rehabilitation Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PENN HUNDLEY (PRESIDENT/CEO)
(972) 644-2076
Entity
Organization
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
(210) 599-3105
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
(972) 644-5650
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181437801
—
TX
Enumeration date
07/17/2006
Last updated
11/22/2010
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