| Charis Behavioral Health Llc | |
|
250 W Southlake Blvd Southlake TX 76092-6171 | |
| (469) 578-2529 | |
| Not Available |
| Full Name | Charis Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 250 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Cosalyn Young (BUSINESS OPERATIONS DIRECTOR) |
| Authorized Official Contact | 8179974525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Behavioral Health Llc 250 W Southlake Blvd Ste 100 Southlake TX 76092-6170 Ph: (817) 997-4525 | Charis Behavioral Health Llc 250 W Southlake Blvd Southlake TX 76092-6171 Ph: (469) 578-2529 |
| NPI Number | 1124664123 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124664123 | NPI | - | NPPES |
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