Nicole Smith Irrv Tr 08012010

NPI #1245981257 in Aledo, Texas

Provider Information

NPI Number: 1245981257
Entity Type: Organization
Organization Name: Nicole Smith Irrv Tr 08012010
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 11, 2022
Last Updated: Jan 11, 2022

Practice Location

Address: 420 PRAIRIE RUN
City: Aledo
State: Texas
ZIP Code: 76008-1170
Phone: (760) 676-0085

Authorized Official

Name: NICOLE SMITH
Title: MANAGEMENT
Phone: (856) 301-9997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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