| Tyler Rose Academy Of Learning Center | |
|
12959 Jupiter Rd Dallas TX 75238-5223 | |
| (586) 696-3500 | |
| Not Available |
| Full Name | Tyler Rose Academy Of Learning Center |
|---|---|
| Speciality | Case Management |
| Location | 12959 Jupiter Rd, Dallas, Texas |
| Authorized Official Name and Position | Pedra Geter (DIRECTOR) |
| Authorized Official Contact | 5866963500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Rose Academy Of Learning Center 12959 Jupiter Rd Ste 260 Dallas TX 75238-5227 Ph: (586) 696-3500 | Tyler Rose Academy Of Learning Center 12959 Jupiter Rd Dallas TX 75238-5223 Ph: (586) 696-3500 |
| NPI Number | 1508364050 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508364050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20181075641 (Nevada) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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