Charis Behavioral Health LLC

NPI #1124664123 in Southlake, Texas

Provider Information

NPI Number: 1124664123
Entity Type: Organization
Organization Name: Charis Behavioral Health LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 25, 2019
Last Updated: Jan 6, 2020

Practice Location

Address: 250 W SOUTHLAKE BLVD
City: Southlake
State: Texas
ZIP Code: 76092-6171
Phone: (469) 578-2529

Authorized Official

Name: COSALYN YOUNG
Title: BUSINESS OPERATIONS DIRECTOR
Phone: (817) 997-4525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Psychiatric Hospital	283Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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