Organization
THE SPECIAL NEEDS ACTIVITY CENTER
Active
Organization
THE SPECIAL NEEDS ACTIVITY CENTER
Active
Other names
The Special Needs Activity Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC L FULLER (EXECUTIVE DIRECTOR)
(469) 216-5269
Entity
Organization
Contact information
Practice address
3911 S LANCASTER RD STE 100, DALLAS, TX 75216-5682
(469) 216-5269
Mailing address
3911 S LANCASTER RD STE 100, DALLAS, TX 75216-5682
(469) 216-5269
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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