Organization Name: | VERICARE, P.C. |
NPI Number: | 1053369470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ZIMMERMAN (OWNER) |
Mailing Address: | 1410 E Sandy Lake Rd Coppell |
State: | TX US |
Postal Code: | 750193119 |
Phone Number: | 8002578715 |
Fax Number: | 8008191655 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |