West Texas Counseling And Rehabilitation Of Odessa

NPI 1588795686 - Clinic/Center - 261QR0405X

NPI Details
NPI 1588795686
Enumeration Date 03/08/2007
Last Updated 04/19/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUAN JUAN
Position SPONSOR AND CEO
Phone (432) 335-8141
Fax
Practice Location
515 GOLDER AVE
ODESSA TX, 79761-4411, US
Phone (432) 335-8141
Fax
Business Location
PO BOX 4170
MIDLAND TX, 79704-4170, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, West Texas Counseling And Rehabilitation Of Odessa NPI is 1588795686, taxonomy code is 261QR0405X West Texas Counseling And Rehabilitation Of Odessa physically located at 515 Golder Ave, Odessa TX, 79761-4411. NPI Number 1033115704 has the healthcare provider type.

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1588795686 NPI number is provided on an as is basis without warranty of any kind. 1588795686 is maintained by the National Plan & Provider Enumeration System. The contents of West Texas Counseling And Rehabilitation Of Odessa are for informational purposes only.