Organization
ENVISION HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRI CASCIO (EXECUTIVE DIRECTOR)
99728351810
Entity
Organization
Contact information
Practice address
5151 BELT LINE RD, SUITE 575, DALLAS, TX 75254-7507
(972) 331-5382
(972) 331-5387
Mailing address
5151 BELT LINE RD, SUITE 575, DALLAS, TX 75254-7507
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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