Organization · Type 2 NPI

Golden Gate Adult Rehabilitation Ministry

Recovery Care Clinic/Center · Dallas, TX

NPI number 1164043196 Active

Practice location

1128 Reverend Cbt Smith St
Dallas, TX 75203-1536

Specialties and licenses

TaxonomyCodeLicense
Recovery Care Clinic/Center Primary 261QR0800XNone listed

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About NPI 1164043196

Golden Gate Adult Rehabilitation Ministry's National Provider Identifier is 1164043196, issued on Apr 30, 2020. The primary taxonomy on file is Recovery Care Clinic/Center (261QR0800X), and the practice location is in Dallas, TX. The record was last updated on Apr 30, 2020.