Crescent Behavioral Health, Llc | |
202 W Park Place Dr Lancaster TX 75134-3250 | |
(504) 877-2335 | |
Not Available |
Full Name | Crescent Behavioral Health, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 202 W Park Place Dr, Lancaster, Texas |
Authorized Official Name and Position | Maxwell, Emile Alvin (ADMINISTRATOR) |
Authorized Official Contact | 5048772335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crescent Behavioral Health, Llc 202 W Park Place Dr Lancaster TX 75134-3250 Ph: (504) 877-2335 | Crescent Behavioral Health, Llc 202 W Park Place Dr Lancaster TX 75134-3250 Ph: (504) 877-2335 |
NPI Number | 1083211387 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |
Certification Date | 10/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083211387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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