Organization
AUTISTIC TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA PENN HUNDLEY (EXECUTIVE DIRECTOR)
(972) 644-2076
Entity
Organization
Contact information
Practice address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
(972) 644-5650
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
(972) 644-5650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/16/2007
Last updated
04/30/2012
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