| The Willows Treatment Center Llc | |
|
905 E Los Ebanos Blvd Ste A Brownsville TX 78520-8706 | |
| (956) 541-8040 | |
| (956) 205-0430 |
| Full Name | The Willows Treatment Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 905 E Los Ebanos Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Mayda O Olleros (PRESIDENT) |
| Authorized Official Contact | 9565418040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willows Treatment Center Llc 905 E. Los Ebanos Blvd Ste A Brownsville TX 78520-8720 Ph: (956) 541-8040 | The Willows Treatment Center Llc 905 E Los Ebanos Blvd Ste A Brownsville TX 78520-8706 Ph: (956) 541-8040 |
| NPI Number | 1447445648 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447445648 | NPI | - | NPPES |
| 0035DL | Other | TX | BC/BS |
| 116832 | Other | TX | SUPERIOR HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13679 (Texas) | Primary |
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