Provider Demographics
NPI:1255228409
Name:CARDINAL RECOVERY CENTER LLC
Entity type:Organization
Organization Name:CARDINAL RECOVERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:YOUNKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-374-7552
Mailing Address - Street 1:2432 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-2839
Mailing Address - Country:US
Mailing Address - Phone:817-374-7552
Mailing Address - Fax:
Practice Address - Street 1:920 18TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5831
Practice Address - Country:US
Practice Address - Phone:469-814-9682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health