| Texas Community Supervision Alternatives, Llc | |
|
6400 E Highway 290 Ste 200 Austin TX 78723-1032 | |
| (888) 510-8272 | |
| (888) 316-1718 |
| Full Name | Texas Community Supervision Alternatives, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6400 E Highway 290 Ste 200, Austin, Texas |
| Authorized Official Name and Position | Angela Delarosa (MANAGING PARTNER) |
| Authorized Official Contact | 8885108272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Community Supervision Alternatives, Llc 503 S Main St Georgetown TX 78626-5609 Ph: (888) 510-8272 | Texas Community Supervision Alternatives, Llc 6400 E Highway 290 Ste 200 Austin TX 78723-1032 Ph: (888) 510-8272 |
| NPI Number | 1053922682 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053922682 | NPI | - | NPPES |
| 32051868324 | Other | TX | TEXAS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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