Henry David Hardt Ph D

NPI #1174860266 in Waco, Texas

Provider Information

NPI Number: 1174860266
Entity Type: Organization
Organization Name: Henry David Hardt Ph D
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jan 9, 2013
Last Updated: Jan 9, 2013

Practice Location

Address: 4555 LAKE SHORE DR
City: Waco
State: Texas
ZIP Code: 76710-1814
Phone: (254) 776-0400

Authorized Official

Name: HENRY DAVID HARDT, PH.D.
Title: OWNER/DIRECTOR
Phone: (254) 776-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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