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Donna Dickerhoff
Substance Abuse Rehabilitation Facility in Austin, Texas
NPI 1770828600

Donna Dickerhoff is a Substance Abuse Rehabilitation Facility based in Austin, TX. Donna Dickerhoff practices in Austin, TX. The NPI Number for Donna Dickerhoff is 1770828600 and holds a License No. 825 (Texas).

The current practice location address for Donna Dickerhoff is 8402 Cross Park Dr, Austin, TX and can be reached out via phone at 512-697-8500.

Location: 8402 Cross Park Dr, Austin, TX, 78754-4595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770828600
Provider Name
Donna Dickerhoff
Credential
Provider Entity Type
Individual
Gender
Female
Address
8402 Cross Park Dr, Austin, TX, 78754-4595
Phone Number
512-697-8500
Fax Number
Provider Enumeration Date
12/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8402 Cross Park Dr
City
Austin
State
Texas
Zip
78754-4595
Phone Number
512-697-8500
Fax Number
person
Provider Business Mailing Address Details
Address
8402 Cross Park Dr
City
Austin
State
Texas
Zip
78754-4595
Phone Number
512-697-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
825 (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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