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101 Fm 971 Georgetown TX 78626-4546 | |
| (816) 547-9248 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 101 Fm 971, Georgetown, Texas |
| Authorized Official Name and Position | Heather Cooley (COO) |
| Authorized Official Contact | 5128393895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3960 Southeastern Ave Indianapolis IN 46203-1500 Ph: () - | 101 Fm 971 Georgetown TX 78626-4546 Ph: (816) 547-9248 |
| NPI Number | 1780428441 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780428441 | NPI | - | NPPES |
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