Organization
METROCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROLANDA WILLIAMS (HUMAN RESOURCE)
(214) 743-6159
Entity
Organization
Contact information
Practice address
4645 SAMUELL BLVD, DALLAS, TX 75228-6826
(214) 275-7393
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
719220
TX
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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