| Dallas Comprehensive Treatment Center | |
|
311 White Ingram Pkwy Dallas GA 30132-0969 | |
| (770) 615-0951 | |
| (678) 363-7787 |
| Full Name | Dallas Comprehensive Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 White Ingram Pkwy, Dallas, Georgia |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Comprehensive Treatment Center 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (607) 710-0819 | Dallas Comprehensive Treatment Center 311 White Ingram Pkwy Dallas GA 30132-0969 Ph: (770) 615-0951 |
| NPI Number | 1407582042 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 1456736255 |
|---|---|
| Medicare Enrollment ID | O20220914003455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407582042 | NPI | - | NPPES |
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