Palace of Cedar Rehabilitation Retreat

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PALACE OF CEDAR REHABILITATION RETREAT

Practice address

416 Dogwood Dr
Anna, TX 75409-5094

Phone

(972) 464-6173

NPI assigned

Jul 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carlissa K Hookfin

Title

Chief Executive Officer

Phone

(972) 464-6173

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1285120626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451922",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750451922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 DOGWOOD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754095094",
            "telephone_number": "972-464-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE OF CEDAR REHABILITATION RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "HOOKFIN",
        "authorized_official_first_name": "CARLISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "972-464-6173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Anna, TX
• Providers in Anna, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.