| Prime Behavioral Health, Inc | |
|
400 N Main St Suite 104 Grapevine TX 76051-3300 | |
| (817) 715-7373 | |
| Not Available |
| Full Name | Prime Behavioral Health, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 400 N Main St, Grapevine, Texas |
| Authorized Official Name and Position | Brian Rees (OWNER) |
| Authorized Official Contact | 8177157373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Behavioral Health, Inc 400 N Main St Suite 104 Grapevine TX 76051-3300 Ph: (817) 715-7373 | Prime Behavioral Health, Inc 400 N Main St Suite 104 Grapevine TX 76051-3300 Ph: (817) 715-7373 |
| NPI Number | 1548670672 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548670672 | NPI | - | NPPES |
| 32052093625 | Other | TX | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | N9362 (Texas) | Primary |
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