Provider Demographics
NPI:1871861666
Name:METROCARE SERVICES
Entity Type:Organization
Organization Name:METROCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM THERAPIST/LPC-MH
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ECKHARDT-ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:214-676-7753
Mailing Address - Street 1:200 GREENE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-6327
Mailing Address - Country:US
Mailing Address - Phone:214-689-5106
Mailing Address - Fax:214-689-5184
Practice Address - Street 1:200 GREENE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-6327
Practice Address - Country:US
Practice Address - Phone:214-689-5106
Practice Address - Fax:214-689-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17191324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility