MEDICARE: PERIMETER BEHAVIORAL HOSPITAL OF ARLINGTON, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1346805520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERIMETER BEHAVIORAL HOSPITAL OF ARLINGTON, LLC

Provider Business Mailing Address
First Line	:	2520 NORTHWINDS PKWY STE 550
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-2236
Country	:	US
Telephone Number	:	470-554-7903
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 U.S. 287 FRONTAGE ROAD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-7600
Country	:	US
Telephone Number	:	817-583-8080
Fax Number	:

Authorized Official
Title or Position	:	AVP OF ADMINISTRATIVE SERVICES
Name	:	ROCHELLE GERBER
Credential	:
Telephone Number	:	470-554-7903

Provider Enumeration Date	:	05/03/2019
Last Update Date	:	11/23/2021

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