Provider Demographics
NPI:1508757204
Name:TRU DALLAS DETOX & RECOVERY CENTER
Entity type:Organization
Organization Name:TRU DALLAS DETOX & RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-797-5991
Mailing Address - Street 1:2633 MCKINNEY AVE STE 130-319
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2219 W EULESS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-6624
Practice Address - Country:US
Practice Address - Phone:866-797-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility