Vcphcs Xxii, LLC
Clinic/Center, Methadone Clinic in Lufkin, TX. Organization (NPI-2).
NPI number1124464136
StatusActive
Last updated in NPPESMay 16, 2013
Details
- NPI
- 1124464136
- Entity type
- Organization (NPI-2)
- Legal business name
- Vcphcs Xxii, LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2013
- Last updated
- May 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | 1000038 | TX | Yes |
Other names
- Bhg Lufkin Treatment Center (Doing Business As)
Practice location
105 E Bremond AveLufkin, TX 75901-3025
Phone 936-637-2223 · Fax 936-637-2220
Mailing address
8300 Douglas AveSuite 750
Dallas, TX 75225-5603
Phone 214-365-6100 · Fax 214-365-6150
Authorized official
James Frederick Draudt
Coo
2143656111
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