| Rose Quartz Center For Therapeutic Change Llc | |
|
4900 Rose Quartz Dr Killeen TX 76542-5383 | |
| (619) 762-8360 | |
| Not Available |
| Full Name | Rose Quartz Center For Therapeutic Change Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4900 Rose Quartz Dr, Killeen, Texas |
| Authorized Official Name and Position | Nancy Basoah-scott (OWNER) |
| Authorized Official Contact | 6197628360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Quartz Center For Therapeutic Change Llc 4900 Rose Quartz Dr Killeen TX 76542-5383 Ph: (619) 762-8360 | Rose Quartz Center For Therapeutic Change Llc 4900 Rose Quartz Dr Killeen TX 76542-5383 Ph: (619) 762-8360 |
| NPI Number | 1205610631 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/27/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205610631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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