101 Farm to Market LLC
NPI #1780428441 in Georgetown, Texas
Provider Information
- NPI Number
- 1780428441
- Entity Type
- Organization
- Organization Name
- 101 Farm to Market LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 19, 2024
- Last Updated
- Sep 23, 2025
Practice Location
- Address
- 101 FM 971
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-4546
- Phone
- (816) 547-9248
Authorized Official
- Name
- MS. HEATHER COOLEY
- Title
- COO
- Phone
- (512) 839-3895
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Substance Abuse Rehabilitation Facility |
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