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NPI Code Detail

MEDICARE: BAART BEHAVIORAL HEALTH SERVICES, INC.

MEDICARE: BAART BEHAVIORAL HEALTH SERVICES, INC.
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
1261QM0850XAdult Mental Health Clinic/Center19.147DCA
2261QM2800XMethadone Clinic19.147DCA
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1528106721
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAART BEHAVIORAL HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 1720 LAKEPOINTE DR STE 117
Second Line :
City : LEWISVILLE
State : TX
Zip : 75057-6425
Country : US
Telephone Number : 214-379-3300
Fax Number : 214-853-9018
Provider Business Practice Location Address
First Line : 11682 ATLANTIC AVE
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-3832
Country : US
Telephone Number : 310-357-5883
Fax Number : 310-537-5587
Authorized Official
Title or Position : VP, TREASURER
Name : BRUCE JARVIE
Credential :
Telephone Number : 214-379-3300
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/29/2024

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