Sage Substance Abuse Guidance and Education

NPI #1881982155 in Lakeside, Texas

Provider Information

NPI Number: 1881982155
Entity Type: Organization
Organization Name: Sage Substance Abuse Guidance and Education
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 20, 2011
Last Updated: Jul 20, 2011

Practice Location

Address: 8401 JACKSBORO HWY
City: Lakeside
State: Texas
ZIP Code: 76135-4351
Phone: (817) 238-9911

Authorized Official

Name: MRS. DANA L HOLLINGSWORTH, LCDC
Title: EXECUTIVE DIRECTOR
Phone: (817) 238-9911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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