| Eating Disorder Solutions Of Texas Llc | |
|
10222 Chimney Hill Ln Dallas TX 75243-2311 | |
| (248) 410-0567 | |
| Not Available |
| Full Name | Eating Disorder Solutions Of Texas Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 10222 Chimney Hill Ln, Dallas, Texas |
| Authorized Official Name and Position | Jared Hirsch (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2484100567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Solutions Of Texas Llc Po Box 734612 Dallas TX 75373-4612 Ph: (248) 410-0567 | Eating Disorder Solutions Of Texas Llc 10222 Chimney Hill Ln Dallas TX 75243-2311 Ph: (248) 410-0567 |
| NPI Number | 1558833467 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558833467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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