A Su Lado Co.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX. Organization (NPI-2).
NPI number1356747554
StatusActive
Last updated in NPPESNov 15, 2014
Details
- NPI
- 1356747554
- Entity type
- Organization (NPI-2)
- Legal business name
- A Su Lado Co.
- Organization subpart
- No
- Enumeration date
- Nov 15, 2014
- Last updated
- Nov 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1200 Main St Apt 202Dallas, TX 75202-4300
Phone 214-310-8970
Mailing address
1200 Main St Apt 202Dallas, TX 75202-4300
Phone 214-310-8970
Authorized official
Yarik Molina
President
2143108970
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