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Organization

AUTISTIC TREATMENT CENTER, INC.

Active
Other names
Autism Treatment Center Rehabilitation Agency
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA PENN HUNDLEY (PRESIDENT/CEO)
(972) 644-2076
Entity
Organization

Contact information

Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
(210) 599-3105
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
(972) 644-5650

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181437801
TX
Enumeration date
07/17/2006
Last updated
11/22/2010
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