American Behavior Change Center LLC
Psychiatry & Neurology, Psychiatry in Dallas, TX. Organization (NPI-2).
NPI number1639769490
StatusActive
Last updated in NPPESJan 25, 2021
Details
- NPI
- 1639769490
- Entity type
- Organization (NPI-2)
- Legal business name
- American Behavior Change Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2021
- Certification date
- Jan 25, 2021
- Last updated
- Jan 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
4514 Cole Ave Ste 600Dallas, TX 75205-4193
Phone 703-342-9329
Mailing address
8324 Lullwater DrDallas, TX 75218-1148
Other practice locations
225 Wilmington W Chester Pike Ste 200
Chadds Ford, PA 19317-9011
Chadds Ford, PA 19317-9011
Phone 703-342-9329
Authorized official
Donna Scott
Operations Manager
2146213485
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