Organization
A SU LADO CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YARIK MOLINA (PRESIDENT)
(214) 310-8970
Entity
Organization
Contact information
Practice address
1200 MAIN ST APT 202, DALLAS, TX 75202-4300
(214) 310-8970
Mailing address
1200 MAIN ST APT 202, DALLAS, TX 75202-4300
(214) 310-8970
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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