Organization
DALLAS COUNTY MHMR
Active
Other names
Dallas Metrocare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDA S WILLIAMS (BUSINESS OPERATIONS MANAGER)
(214) 743-6159
Entity
Organization
Contact information
Practice address
2701 WIMBLEDON CT, GARLAND, TX 75041-2690
(214) 743-6159
(214) 689-6482
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
(214) 689-6482
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379501
ICFMR CONTRACT NUMBER
TX
Enumeration date
05/01/2007
Last updated
08/22/2020
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