Greenhouse Treatment Center, Llc

NPI 1063786069 - Clinic/Center - 261QM0850X

NPI Details
NPI 1063786069
Enumeration Date 03/08/2012
Last Updated 12/08/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CHAIRMAN
Phone (817) 640-4000
Fax (817) 649-0422
Practice Location
1171 107TH ST
GRAND PRAIRIE TX, 75050-2502, US
Phone (817) 640-4000
Fax (817) 649-0422
Business Location
115 PENN WARREN DR
SUITE 300-280
BRENTWOOD TN, 37027-5047, US
Phone (615) 727-8387
Fax (615) 457-8094
Toxanomy
Taxonomy Code 261QM0850X
License State Texas
License Number 3509-3511
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According to our database, Greenhouse Treatment Center, Llc NPI is 1063786069, taxonomy code is 261QM0850X and license number is 3509-3511, license state is located at Texas. Greenhouse Treatment Center, Llc physically located at 1171 107th St, Grand Prairie TX, 75050-2502. NPI Number 1033115704 has the healthcare provider type.

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1063786069 NPI number is provided on an as is basis without warranty of any kind. 1063786069 is maintained by the National Plan & Provider Enumeration System. The contents of Greenhouse Treatment Center, Llc are for informational purposes only.