| Dcci | |
|
4403 Manchaca Rd Suite B Austin TX 78745-1680 | |
| (512) 383-1036 | |
| (512) 383-1044 |
| Full Name | Dcci |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4403 Manchaca Rd, Austin, Texas |
| Authorized Official Name and Position | Austin Anthony Frank (CEO/PROGRAM DIRECTOR) |
| Authorized Official Contact | 5123831036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dcci Po Box 40476 Austin TX 78704-0008 Ph: (512) 383-1036 | Dcci 4403 Manchaca Rd Suite B Austin TX 78745-1680 Ph: (512) 383-1036 |
| NPI Number | 1194964569 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194964569 | NPI | - | NPPES |
| 167953201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2253A (Texas) | Primary |
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