Organization · Type 2 NPI

Northridge Ranch

Substance Use Disorder Rehabilitation Clinic/Center · Rockwall, TX

NPI number 1679378137 Active

Practice location

6 Northridge Ln
Rockwall, TX 75087-8323

Mailing address

5954 Broadway Blvd # 105
Garland, TX 75043-5822

Specialties and licenses

TaxonomyCodeLicense
Meals Provider 174200000XNone listed
Peer Specialist 175T00000XNone listed
Lodging Provider 177F00000XNone listed
Case Management Agency 251B00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Rehabilitation Hospital Unit 273Y00000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

About NPI 1679378137

Northridge Ranch's National Provider Identifier is 1679378137, issued on Feb 18, 2025. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Rockwall, TX. The record was last updated on Feb 20, 2025.