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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