Organization
ELEMENTS AT LAKEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BAUER (MEMBER)
(605) 351-1886
Entity
Organization
Contact information
Practice address
6205 LA VISTA DRIVE, DALLAS, TX 75214-4312
(646) 509-7035
Mailing address
1700 CEDAR SPRINGS ROAD, APT 1304, DALLAS, TX 75202
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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