| Another Chance 4 Change | |
|
2851 Joe Dimaggio Blvd Ste 4 Round Rock TX 78665-3927 | |
| (512) 731-5243 | |
| (512) 238-1961 |
| Full Name | Another Chance 4 Change |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2851 Joe Dimaggio Blvd, Round Rock, Texas |
| Authorized Official Name and Position | Auburne L Gallagher (OWNER/COUNSELOR) |
| Authorized Official Contact | 5127315243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Another Chance 4 Change 2851 Joe Dimaggio Blvd Ste 4 Round Rock TX 78665-3927 Ph: (512) 731-5243 | Another Chance 4 Change 2851 Joe Dimaggio Blvd Ste 4 Round Rock TX 78665-3927 Ph: (512) 731-5243 |
| NPI Number | 1104122738 |
|---|---|
| Provider Enumeration Date | 01/29/2011 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104122738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10616 (Texas) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 33763377 (Texas) | Primary |
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