San Gabriel Recovery Ranch LLC
NPI #1386300770 in Georgetown, Texas
Provider Information
- NPI Number
- 1386300770
- Entity Type
- Organization
- Organization Name
- San Gabriel Recovery Ranch LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SAN GABRIEL RECOVERY RANCH LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Nov 10, 2021
- Last Updated
- Nov 11, 2021
Practice Location
- Address
- 1443 COUNTY ROAD 103
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-3854
- Phone
- (512) 840-9167
Authorized Official
- Name
- VALERIE A ANDERSON
- Title
- BILLING & COLLECTIONS SPECIALIST
- Phone
- (512) 840-9167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychiatric Unit |
| Substance Abuse Rehabilitation Facility |
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