| Success Track Llc | |
|
9352 Osage Cir Garden Ridge TX 78266-2060 | |
| (201) 859-7854 | |
| (210) 745-4677 |
| Full Name | Success Track Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9352 Osage Cir, Garden Ridge, Texas |
| Authorized Official Name and Position | Rolla Merle Bradley (OWNER) |
| Authorized Official Contact | 2108597854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Track Llc 9352 Osage Cir Garden Ridge TX 78266-2060 Ph: (201) 859-7854 | Success Track Llc 9352 Osage Cir Garden Ridge TX 78266-2060 Ph: (201) 859-7854 |
| NPI Number | 1134670649 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134670649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 14527 (Texas) | Primary |
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