Golden Gate Adult Rehabilitation Ministry

NPI #1164043196 in Dallas, Texas

Provider Information

NPI Number
1164043196
Entity Type
Organization
Organization Name
Golden Gate Adult Rehabilitation Ministry
Primary Specialty
Clinic/Center - Recovery Care
Enumeration Date
Apr 30, 2020
Last Updated
Apr 30, 2020

Practice Location

Address
1128 REVEREND CBT SMITH ST
City
Dallas
State
Texas
ZIP Code
75203-1536
Phone
(214) 943-5010

Authorized Official

Name
OBIE BUSSEY
Title
PROGRAM DIRECTOR
Phone
(214) 943-5010

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Recovery CareRecovery Care

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