NPI 1073284402
Gallus Detox Dallas
Practice location
- Address
- 1776 Us-287 STE 250, Mansfield, TX 76063
- Phone
- (928) 533-0872
- Mailing address
- 300 S Jackson St STE 220, Denver, CO 80209-3134
Authorised official
- Name
- Georgina Carroll
- Title
- Director of Clinical Operations
- Phone
- (928) 533-0872
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1073284402
- Entity type
- Organization
- NPI issued
- 24 Sep 2021
- Record last updated
- 3 Jan 2023
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.