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Organization

PRIME BEHAVIORAL HEALTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN REES PHD (OWNER)
(817) 715-7373
Entity
Organization

Contact information

Practice address
400 N MAIN ST, SUITE 104, GRAPEVINE, TX 76051-3300
(817) 715-7373
Mailing address
400 N MAIN ST, SUITE 104, GRAPEVINE, TX 76051-3300
(817) 715-7373

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
N9362
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32052093625
MENTAL HEALTH
TX
Enumeration date
04/28/2014
Last updated
04/28/2014
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