| Dallas Center For Advanced Depression Treatments | |
|
16479 Dallas Pkwy Ste 320 Addison TX 75001-6709 | |
| (469) 484-4260 | |
| Not Available |
| Full Name | Dallas Center For Advanced Depression Treatments |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 16479 Dallas Pkwy Ste 320, Addison, Texas |
| Authorized Official Name and Position | Marty Neal Bennett (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4694844260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Center For Advanced Depression Treatments 16479 Dallas Pkwy Ste 320 Addison TX 75001-6709 Ph: (469) 484-4260 | Dallas Center For Advanced Depression Treatments 16479 Dallas Pkwy Ste 320 Addison TX 75001-6709 Ph: (469) 484-4260 |
| NPI Number | 1710566773 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710566773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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