Organization
PALACE OF CEDAR REHABILITATION RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLISSA K HOOKFIN (CHIEF EXECUTIVE OFFICER)
(972) 464-6173
Entity
Organization
Contact information
Practice address
416 DOGWOOD DR, ANNA, TX 75409-5094
(972) 464-6173
Mailing address
PO BOX 451922, GARLAND, TX 75045-1922
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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