Organization
CENTERPOINTE BEHAVIORAL HEALTH DALLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHD AZFAR MALIK MD, MBA (CEO)
(636) 441-7300
Entity
Organization
Contact information
Practice address
3801 WILLIAM D TATE AVE, SUITE 800 A, GRAPEVINE, TX 76051-8755
(314) 393-3954
(636) 447-6001
Mailing address
763 S NEW BALLAS RD, SUITE 300, SAINT LOUIS, MO 63141-8704
(314) 393-3954
(636) 447-6001
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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