Organization
ALLCARE NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINETTA WHITLEY (OWNER)
(469) 215-9693
Entity
Organization
Contact information
Practice address
550 EXCHANGE BLVD APT 2102, HUTTO, TX 78634-1020
(469) 215-9396
Mailing address
PO BOX 577, HUTTO, TX 78634-0577
(469) 215-9693
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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