Organization · Type 2 NPI
Jacy Rader LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Dallas, TX
NPI number
1669986519
Active
Practice location
9026 Garland Rd
Dallas, TX 75218-3919
Mailing address
2362 Oldbridge Dr
Dallas, TX 75228-5360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 73765 (TX) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1669986519
Jacy Rader LLC's National Provider Identifier is 1669986519, issued on Nov 29, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Dallas, TX. The record was last updated on Nov 29, 2017.