Sundance Behavioral Healthcare

LBN: Sundance Behavioral Health Care, Inc
Sundance Behavioral Healthcare is an health care organization with primary practice located at 2707 Airport Fwy , Fort Worth TX 76111-2370. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Sundance Behavioral Health Care, Inc can be contacted via phone (817) 222-9191, or through Indukuri, Padmanabha Raju via phone (817) 222-9191.

Contact Information

Primary practice address
2707 Airport Fwy Fort Worth TX 76111-2370
Phone: (817) 222-9191
Fax: (817) 222-9797
Website:
Map and Directions
Authorized official contact:
Name: Indukuri, Padmanabha Raju
Phone: (817) 222-9191

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1235157165
LBN Legal business name Sundance Behavioral Health Care, Inc
DBA Doing business as Sundance Behavioral Healthcare
Authorized official Indukuri, Padmanabha Raju
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 10th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235157165 NPPES
Texas MEDICAID 17889802
Texas Other TXB135639

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