Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Dallas Deflection Center - Homeward Bound
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (PRESIDENT AND CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5300 UNIVERSITY HILLS BLVD STE 400, DALLAS, TX 75241-1219
(214) 590-0153
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2022
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