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Est 400 Of Waco Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Waco, Texas
NPI 1033554837

Est 400 Of Waco Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Waco, TX and is specialized in Mental Health (Including Community Mental Health Center). Est 400 Of Waco Llc practices in Waco, TX. The NPI Number for Est 400 Of Waco Llc is 1033554837 and holds a License No. (Texas).

The current practice location address for Est 400 Of Waco Llc is 4555 Lake Shore Dr, Waco, TX and can be reached out via phone at 254-776-0400 and via fax at 254-776-0637.

Location: 4555 Lake Shore Dr, Waco, TX, 76710-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033554837
Provider Name
Est 400 Of Waco Llc
Credential
Provider Entity Type
Organization
Address
4555 Lake Shore Dr, Waco, TX, 76710-1814
Phone Number
254-776-0400
Fax Number
254-776-0637
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4555 Lake Shore Dr
City
Waco
State
Texas
Zip
76710-1814
Phone Number
254-776-0400
Fax Number
254-776-0637
person
Provider Business Mailing Address Details
Address
4555 Lake Shore Dr
City
Waco
State
Texas
Zip
76710-1814
Phone Number
254-776-0400
Fax Number
254-776-0637
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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