| Trauma Detox Pllc | |
|
3613 Williams Dr Ste 1006 Georgetown TX 78628-1376 | |
| (512) 796-5059 | |
| Not Available |
| Full Name | Trauma Detox Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3613 Williams Dr Ste 1006, Georgetown, Texas |
| Authorized Official Name and Position | Danielle West (MANAGING PARTNER) |
| Authorized Official Contact | 5127965059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Detox Pllc 3613 Williams Dr Ste 1006 Georgetown TX 78628-1376 Ph: () - | Trauma Detox Pllc 3613 Williams Dr Ste 1006 Georgetown TX 78628-1376 Ph: (512) 796-5059 |
| NPI Number | 1043862246 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043862246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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