Brazos Intensive Outpatient Program, Llc

NPI 1053650234 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1053650234
Enumeration Date 02/07/2013
Last Updated 03/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BEN BEN
Position CEO
Phone (254) 775-4088
Fax (267) 795-9510
Practice Location
257 FM 927 CR
MORGAN TX, 76671-1111, US
Phone (254) 775-4088
Fax (267) 795-9510
Business Location
1114 LOST CREEK BLVD
STE 500
AUSTIN TX, 78746-6300, US
Phone (512) 308-6032
Fax (512) 306-9188
Toxanomy
Taxonomy Code 324500000X
License State Texas
License Number 3593-3594
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According to our database, Brazos Intensive Outpatient Program, Llc NPI is 1053650234, taxonomy code is 324500000X and license number is 3593-3594, license state is located at Texas. Brazos Intensive Outpatient Program, Llc physically located at 257 Fm 927 Cr, Morgan TX, 76671-1111. NPI Number 1033115704 has the healthcare provider type.

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1053650234 NPI number is provided on an as is basis without warranty of any kind. 1053650234 is maintained by the National Plan & Provider Enumeration System. The contents of Brazos Intensive Outpatient Program, Llc are for informational purposes only.