Organization
NORTHRIDGE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANCE WILLIAM LUNA (OWNER)
(214) 675-0999
Entity
Organization
Contact information
Practice address
6 NORTHRIDGE LN, ROCKWALL, TX 75087-8323
(972) 806-0877
Mailing address
5954 BROADWAY BLVD # 105, GARLAND, TX 75043-5822
(972) 806-0877
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/18/2025
Last updated
02/20/2025
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