Organization
AUTISTIC TREATMENT CENTER, INC.
Active
Other names
Autism Treatment Center Rehabilitation Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA HUNDLEY (EXECUTIVE DIRECTOR)
(972) 644-2076
Entity
Organization
Contact information
Practice address
10610 METRIC DR, 101, DALLAS, TX 75243-5541
(214) 221-4405
(214) 221-4463
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(972) 644-2076
(972) 644-5650
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204108901
—
TX
01
—
556500000
EPOTC
TX
Enumeration date
02/08/2008
Last updated
09/13/2012
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