Provider Demographics
NPI:1669703328
Name:CDHS INC.
Entity type:Organization
Organization Name:CDHS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC,ADC LEVEL III
Authorized Official - Phone:817-652-1004
Mailing Address - Street 1:214 BILLINGS ST STE 240
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-5404
Mailing Address - Country:US
Mailing Address - Phone:817-652-1004
Mailing Address - Fax:817-652-1016
Practice Address - Street 1:214 BILLINGS ST STE 240
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5404
Practice Address - Country:US
Practice Address - Phone:817-652-1004
Practice Address - Fax:817-652-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0000047261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone