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Gordon Wayne Jones, LCDCBS
Substance Abuse Rehabilitation Facility in Waco, Texas
NPI 1396962619

Gordon Wayne Jones is a Substance Abuse Rehabilitation Facility based in Waco, TX. Gordon Wayne Jones practices in Waco, TX and has the professional credentials of LCDCBS. The NPI Number for Gordon Wayne Jones is 1396962619 and holds a License No. (Texas).

The current practice location address for Gordon Wayne Jones is 1619 Washington Ave, Waco, TX and can be reached out via phone at 254-753-3626 and via fax at 254-753-0715.

Location: 1619 Washington Ave, Waco, TX, 76701-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396962619
Provider Name
Gordon Wayne Jones
Credential
LCDCBS
Provider Entity Type
Individual
Gender
Male
Address
1619 Washington Ave, Waco, TX, 76701-1134
Phone Number
254-753-3626
Fax Number
254-753-0715
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1619 Washington Ave
City
Waco
State
Texas
Zip
76701-1134
Phone Number
254-753-3626
Fax Number
254-753-0715
person
Provider Business Mailing Address Details
Address
1619 Washington Ave
City
Waco
State
Texas
Zip
76701-1134
Phone Number
254-753-3626
Fax Number
254-753-0715
person
Provider's Taxonomy Details 1
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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