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Organization

MADORCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PASCALINE BIH AKUM (DIRECTOR)
(203) 823-7086
Entity
Organization

Contact information

Practice address
10100 N CENTRAL EXPY STE 321, DALLAS, TX 75231-4159
(203) 823-7086
(347) 507-9893
Mailing address
10100 N CENTRAL EXPY STE 321, DALLAS, TX 75231-4159
(203) 823-7086
(347) 507-9893

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
310500000X
Mental Illness Intermediate Care Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
02/15/2024
Last updated
07/12/2024
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