| Mesquite Treatment Center, Llc | |
|
17697 Abd Rd Harlingen TX 78552-1753 | |
| (956) 428-2100 | |
| Not Available |
| Full Name | Mesquite Treatment Center, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 17697 Abd Rd, Harlingen, Texas |
| Authorized Official Name and Position | Laura Lisa Cavazos (MANAGER/OWNER) |
| Authorized Official Contact | 9564282100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Treatment Center, Llc Po Box 603 Harlingen TX 78551-0603 Ph: (956) 428-2100 | Mesquite Treatment Center, Llc 17697 Abd Rd Harlingen TX 78552-1753 Ph: (956) 428-2100 |
| NPI Number | 1205022159 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205022159 | NPI | - | NPPES |
| 182590301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2502-A (Texas) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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