St. Monica's Outreach Center for Addictive Disorders

NPI #1780961920 in Bryan, Texas

Provider Information

NPI Number: 1780961920
Entity Type: Organization
Organization Name: St. Monica's Outreach Center for Addictive Disorders
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Nov 15, 2011
Last Updated: Nov 15, 2011

Practice Location

Address: 1703 E 29TH ST
City: Bryan
State: Texas
ZIP Code: 77802-1406
Phone: (979) 779-4756

Authorized Official

Name: DR. RANY A CHERIAN, M.D.
Title: PRESIDENT
Phone: (979) 779-4756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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