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Golden Gate Adult Rehabilitation Ministry

Clinic/Center, Recovery Care in Dallas, TX. Organization (NPI-2).

NPI number1164043196
StatusActive
Last updated in NPPESApr 30, 2020

Details

NPI
1164043196
Entity type
Organization (NPI-2)
Legal business name
Golden Gate Adult Rehabilitation Ministry
Organization subpart
No
Enumeration date
Apr 30, 2020
Certification date
Apr 30, 2020
Last updated
Apr 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0800X Clinic/Center, Recovery Care––Yes

Other names

  • Adult Rehabilitation Ministries (Arm) (Doing Business As)

Practice location

1128 Reverend Cbt Smith St
Dallas, TX 75203-1536

Phone 214-943-5010

Mailing address

1128 Reverend Cbt Smith St
Dallas, TX 75203-1536

Phone 214-943-5010

Authorized official

Obie Bussey
Program Director
2149435010

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