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San Gabriel Recovery Ranch Llc
Substance Abuse Rehabilitation Facility in Georgetown, Texas
NPI 1386300770

San Gabriel Recovery Ranch Llc is a Substance Abuse Rehabilitation Facility based in Georgetown, TX. San Gabriel Recovery Ranch Llc practices in Georgetown, TX. The NPI Number for San Gabriel Recovery Ranch Llc is 1386300770 and holds a License No. (Texas).

The current practice location address for San Gabriel Recovery Ranch Llc is 1443 County Road 103, Georgetown, TX and can be reached out via phone at 512-840-9167 and via fax at 512-430-1394.

Location: 1443 County Road 103, Georgetown, TX, 78626-3854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386300770
Provider Name
San Gabriel Recovery Ranch Llc
Credential
Provider Entity Type
Organization
Address
1443 County Road 103, Georgetown, TX, 78626-3854
Phone Number
512-840-9167
Fax Number
512-430-1394
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1443 County Road 103
City
Georgetown
State
Texas
Zip
78626-3854
Phone Number
512-840-9167
Fax Number
512-430-1394
person
Provider Business Mailing Address Details
Address
1443 County Road 103
City
Georgetown
State
Texas
Zip
78626-3854
Phone Number
512-840-9167
Fax Number
512-430-1394
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
273R00000X
License No.
()
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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