Provider Demographics
NPI:1679011399
Name:DAYRISE BEHAVIORAL HEALTHCARE
Entity type:Organization
Organization Name:DAYRISE BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:ONEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:214-554-7182
Mailing Address - Street 1:200 W BOYD DR STE D
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2556
Mailing Address - Country:US
Mailing Address - Phone:214-554-7182
Mailing Address - Fax:
Practice Address - Street 1:200 W BOYD DR STE D
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2556
Practice Address - Country:US
Practice Address - Phone:214-554-7182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health