GALLUS DETOX DALLAS – NPI #1073284402
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

GALLUS DETOX DALLAS is a substance abuse rehabilitation facility located in MANSFIELD, TX. NPPES has assigned the NPI number 1073284402 to GALLUS DETOX DALLAS on September 24, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Jan 03, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GALLUS DETOX DALLAS below.

NPI Profile for
GALLUS DETOX DALLAS

NPI Number
1073284402
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GALLUS DETOX DALLAS
Primary location
1776 US-287
STE 250
MANSFIELD, TX 76063
Phone: (928) 533-0872 Fax:
Mailing address
300 S JACKSON ST STE 220
DENVER, CO 80209-3134
Phone: Fax:
Organization Subpart
No
Authorized Official
GEORGINA CARROLL
DIRECTOR OF CLINICAL OPERATIONS
Phone: (928) 533-0872
Updated
Certification Date
Jan 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.