| Garland Treatment Center Inc | |
|
6246 Broadway Blvd Ste 102 Garland TX 75043-5900 | |
| (972) 203-1141 | |
| (972) 203-1215 |
| Full Name | Garland Treatment Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 6246 Broadway Blvd Ste 102, Garland, Texas |
| Authorized Official Name and Position | Corina Alvarez Riojas (OWNER) |
| Authorized Official Contact | 9722031141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garland Treatment Center Inc 6246 Broadway Blvd Ste 102 Garland TX 75043-5900 Ph: (972) 203-1141 | Garland Treatment Center Inc 6246 Broadway Blvd Ste 102 Garland TX 75043-5900 Ph: (972) 203-1141 |
| NPI Number | 1497536320 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2163870908 |
|---|---|
| Medicare Enrollment ID | O20231204003758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497536320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Mary K Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878770 PECOS PAC ID: 3476575200 Enrollment ID: I20051221000394 |
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