NPI 1073238572
Elements at Lakewood, LLC
Practice location
- Address
- 6205 La Vista Drive, Dallas, TX 75214-4312
- Phone
- (646) 509-7035
- Mailing address
- 1700 Cedar Springs Road APT 1304, Dallas, TX 75202
Authorised official
- Name
- Brian Bauer
- Title
- Member
- Phone
- (605) 351-1886
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1073238572
- Entity type
- Organization
- NPI issued
- 6 Oct 2022
- Record last updated
- 6 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.