Organization
BEHAVIORAL HEALTH LINK CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER POLAN LCSW (PRESIDENT)
(214) 361-9336
Entity
Organization
Contact information
Practice address
5470 GLEN LAKES DR, SUITE 400, DALLAS, TX 75231-4320
(214) 361-9336
Mailing address
5470 GLEN LAKES DR, SUITE 400, DALLAS, TX 75231-4320
(214) 361-9336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z000687N8
—
TX
Enumeration date
03/01/2008
Last updated
08/13/2012
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