Organization
FAITH RECOVERY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKIA DYSHA SELBY (FOUNDER)
(202) 520-5237
Entity
Organization
Contact information
Practice address
3024 MAHANNA SPRINGS DR APT D, DALLAS, TX 75235-8735
(202) 520-5237
(888) 639-9004
Mailing address
3024 MAHANNA SPRINGS DRIVE, UNIT D, DALLAS, TX 75235
(202) 520-5237
(888) 639-9004
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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