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416a N 3rd St Temple TX 76501-3163 | |
| (254) 299-2787 | |
| (254) 778-2197 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 416a N 3rd St, Temple, Texas |
| Authorized Official Name and Position | Matt Kuhlman (CFO) |
| Authorized Official Contact | 7132669944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4785 Msc 675 Houston TX 77210 Ph: (713) 266-9944 | 416a N 3rd St Temple TX 76501-3163 Ph: (254) 299-2787 |
| NPI Number | 1841606027 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 11/11/2020 |
| Certification Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841606027 | NPI | - | NPPES |
| 337210401 | Medicaid | TX |
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