Provider Demographics
NPI:1922642040
Name:CARRUS BEHAVIORAL HOSPITAL LLC
Entity Type:Organization
Organization Name:CARRUS BEHAVIORAL HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANBARASU
Authorized Official - Middle Name:
Authorized Official - Last Name:NACHIMUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-870-2745
Mailing Address - Street 1:1810 W US HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7069
Mailing Address - Country:US
Mailing Address - Phone:903-870-2745
Mailing Address - Fax:903-870-2795
Practice Address - Street 1:1724 W US HIGHWAY 82 STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7037
Practice Address - Country:US
Practice Address - Phone:903-870-2745
Practice Address - Fax:903-870-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health