| Austin Child Guidance Center | |
|
810 W 45th St Austin TX 78751-2802 | |
| (512) 451-2242 | |
| (512) 454-9204 |
| Full Name | Austin Child Guidance Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 810 W 45th St, Austin, Texas |
| Authorized Official Name and Position | Susanne Matthews (ADMIN. DIRECTOR) |
| Authorized Official Contact | 5124512242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Child Guidance Center 810 W 45th St Austin TX 78751-2802 Ph: (512) 451-2242 | Austin Child Guidance Center 810 W 45th St Austin TX 78751-2802 Ph: (512) 451-2242 |
| NPI Number | 1912054776 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912054776 | NPI | - | NPPES |
| 01043JC | Other | TX | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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