Organization
CHARIS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSALYN YOUNG (BUSINESS OPERATIONS DIRECTOR)
(817) 997-4525
Entity
Organization
Contact information
Practice address
250 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6171
(469) 578-2529
Mailing address
250 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6170
(817) 997-4525
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
11/25/2019
Last updated
01/06/2020
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