Provider Demographics
NPI:1285007138
Name:ALMA'S COMMUNITY NETWORK
Entity Type:Organization
Organization Name:ALMA'S COMMUNITY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HASTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-686-0226
Mailing Address - Street 1:1825 MARKET CENTER BLVD STE 425
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-3347
Mailing Address - Country:US
Mailing Address - Phone:214-797-1670
Mailing Address - Fax:
Practice Address - Street 1:1825 MARKET CENTER BLVD STE 425
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-3347
Practice Address - Country:US
Practice Address - Phone:214-797-1670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-01
Last Update Date:2015-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08304503251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management