AAC DALLAS OUTPATIENT CENTER, LLC (NPI# 1104212794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104212794 |
| Entity Type | Organization |
| Organization Name | AAC DALLAS OUTPATIENT CENTER, LLC |
| Practice Address |
2301 Avenue J Arlington TX 76006 |
| Mailing Address |
200 Powell Pl Brentwood TN 37027-7514 |
| Practice Telephone | 8176493850 |
| Practice Fax Number | 6154578094 |
| Mailing Telephone | 6157278387 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MICHAEL T CARTWRIGHT (CHAIRMAN) |
| Authorized Official Telephone | 6157278387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
3826-3827 | NV | Ambulatory Health Care Facilities |
| Street Address |
2301 AVENUE J |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
| 1184288169 | Door of Hope Counseling & Education | Counselor | 1201 North Watson Road, Suite 177, Arlington, TX 76006 | 2019-04-25 |
| 1851890081 | National Logistics LLC | Non-emergency Medical Transport (VAN) | 2715 Golden Creek Lane, Arlington, TX 76006 | 2018-02-02 |
| 1700396033 | Katrina Blakely | Registered Nurse | 2533 Thomason Circle Apt 170, Arlington, TX 76006 | 2017-09-29 |
| 1033635636 | Genxmed LLC | Durable Medical Equipment & Medical Supplies | 2221 E Lamar, Suite 900, Arlington, TX 76006 | 2017-08-16 |
| 1225558521 | Jessica Joanne Salas-figueroa | Specialist/Technologist | 36 Los Robles St, Arlington, TX 76006 | 2017-06-27 |
| 1851771372 | Donald Thomas Jr. | Pharmacist | 1221 Corporate Dr, Arlington, TX 76006 | 2015-06-01 |
| 1083093074 | Jerry Moore | Pharmacist | 1221 Corporate Drive East, Arlington, TX 76006 | 2015-05-22 |
| 1982094785 | Mathias Ngwa | Psychologist | 1201 N Watson Rd Ste 228, Arlington, TX 76006 | 2015-01-31 |
| 1194124685 | Paul Thompson Pa | Clinic/Center | 2000 E Lamar, Suite 155, Arlington, TX 76006 | 2014-08-20 |
| Find all providers in zip 76006 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.