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1705 County Road 285 Liberty Hill TX 78642 | |
| (512) 515-6889 | |
| (512) 515-6793 |
| Full Name | |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1705 County Road 285, Liberty Hill, Texas |
| Authorized Official Name and Position | David Gould (DIRECTOR) |
| Authorized Official Contact | 5129636889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 457 Liberty Hill TX 78642-0457 Ph: (512) 515-6889 | 1705 County Road 285 Liberty Hill TX 78642 Ph: (512) 515-6889 |
| NPI Number | 1124263504 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124263504 | NPI | - | NPPES |
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