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Austin Travis County Mental Health And Mental Retardation Center
Substance Abuse Rehabilitation Facility in Austin, Texas
NPI 1053632505

Austin Travis County Mental Health And Mental Retardation Center is a Substance Abuse Rehabilitation Facility based in Austin, TX. Austin Travis County Mental Health And Mental Retardation Center practices in Austin, TX. The NPI Number for Austin Travis County Mental Health And Mental Retardation Center is 1053632505 and holds a License No. 166-A (Texas).

The current practice location address for Austin Travis County Mental Health And Mental Retardation Center is 1165 Airport Blvd, Austin, TX and can be reached out via phone at 512-472-4357 and via fax at 512-703-1394.

Location: 1165 Airport Blvd, Austin, TX, 78764-3548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053632505
Provider Name
Austin Travis County Mental Health And Mental Retardation Center
Credential
Provider Entity Type
Organization
Address
1165 Airport Blvd, Austin, TX, 78764-3548
Phone Number
512-472-4357
Fax Number
512-703-1394
Provider Enumeration Date
06/18/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212084201 05 TX
institution
Provider Business Practice Location Address Details
Address
1165 Airport Blvd
City
Austin
State
Texas
Zip
78702-3152
Phone Number
512-472-4357
Fax Number
512-703-1394
person
Provider Business Mailing Address Details
Address
1165 Airport Blvd
City
Austin
State
Texas
Zip
78702-3152
Phone Number
512-472-4357
Fax Number
512-703-1394
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
3022 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
166-A (Texas)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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