| Ascendus Behavioral Health | |
|
11886 Greenville Ave Ste 122 Dallas TX 75243-3569 | |
| (972) 278-7427 | |
| (972) 278-7478 |
| Full Name | Ascendus Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11886 Greenville Ave Ste 122, Dallas, Texas |
| Authorized Official Name and Position | David Cudmore (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Contact | 8173380311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascendus Behavioral Health 3001 W 5th St Suite A Fort Worth TX 76107-8900 Ph: (817) 338-0311 | Ascendus Behavioral Health 11886 Greenville Ave Ste 122 Dallas TX 75243-3569 Ph: (972) 278-7427 |
| NPI Number | 1285079517 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285079517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1656-3183 (Texas) | Primary |
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