Organization Name: | TURTLE CREEK MANOR, INC. |
NPI Number: | 1467595827 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN E. CASTANEDA (EXECUTIVE DIRECTOR) |
Mailing Address: | 2707 Routh St Dallas |
State: | TX US |
Postal Code: | 752011927 |
Phone Number: | 2148712483 |
Fax Number: | 2148713042 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |