Liberty Lodge, Inc.

NPI #1376178053 in Alice, Texas

Provider Information

NPI Number: 1376178053
Entity Type: Organization
Organization Name: Liberty Lodge, Inc.
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Mar 3, 2020
Last Updated: Jan 24, 2023

Practice Location

Address: 160 FM 2507
City: Alice
State: Texas
ZIP Code: 78332-7763
Phone: (361) 664-7555

Authorized Official

Name: RHONDA PATRICK
Title: DIRECTOR
Phone: (713) 397-9098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X	Primary

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