San Gabriel Recovery Ranch, LLC
NPI #1487955811 in Georgetown, Texas
Provider Information
- NPI Number
- 1487955811
- Entity Type
- Organization
- Organization Name
- San Gabriel Recovery Ranch, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Nov 17, 2010
- Last Updated
- Jul 18, 2023
Practice Location
- Address
- 1443 COUNTY ROAD 103
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-3854
- Phone
- (512) 561-5086
Authorized Official
- Name
- CATHERINE S OLIVER
- Title
- CONTROLLER
- Phone
- (512) 561-0586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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