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Cleanslate Medical Group Of Texas Pllc
Substance Use Disorder Rehabilitation Clinic/Center in Arlington, Texas
NPI 1487192522

Cleanslate Medical Group Of Texas Pllc is a Substance Use Disorder Rehabilitation Clinic/Center based in Brentwood, TX and is specialized in Rehabilitation, Substance Use Disorder. Cleanslate Medical Group Of Texas Pllc practices in Arlington, TX. The NPI Number for Cleanslate Medical Group Of Texas Pllc is 1487192522 and holds a License No. (Texas).

The current practice location address for Cleanslate Medical Group Of Texas Pllc is 2912 Kraft St Ste 30, Arlington, TX and can be reached out via phone at 413-584-2173. You can also correspond with Cleanslate Medical Group Of Texas Pllc through the mailing address at 8 CADILLAC DR STE 180, BRENTWOOD, TN - 37027-5393 (mailing address contact number: 154-250-0220).

Location: 2912 Kraft St Ste 30, Arlington, TX, 37027-5393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487192522
Provider Name
Cleanslate Medical Group Of Texas Pllc
Credential
Provider Entity Type
Organization
Address
2912 Kraft St Ste 30, Arlington, TX, 37027-5393
Phone Number
413-584-2173
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2912 Kraft St Ste 30
City
Arlington
State
Texas
Zip
76010-5410
Phone Number
413-584-2173
Fax Number
person
Provider Business Mailing Address Details
Address
8 Cadillac Dr Ste 180
City
Brentwood
State
Tennessee
Zip
37027-5393
Phone Number
154-250-0220
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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