Organization
BAM HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M COOK (CEO)
(469) 508-4516
Entity
Organization
Contact information
Practice address
9710 MILITARY PKWY APT 136, DALLAS, TX 75227-4801
(214) 836-5764
Mailing address
9710 MILITARY PKWY APT 136, DALLAS, TX 75227-4801
(214) 836-5764
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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