Whalio Doctors

NPI 1073284402

Gallus Detox Dallas

Organisation Substance Abuse Rehabilitation Facility Mansfield, TX

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
Residential Treatment Facilities Taxonomy 324500000X

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.