San Gabriel Recovery Ranch LLC
Substance Abuse Rehabilitation Facility in Georgetown, TX. Organization (NPI-2).
NPI number1386300770
StatusActive
Last updated in NPPESNov 11, 2021
Details
- NPI
- 1386300770
- Entity type
- Organization (NPI-2)
- Legal business name
- San Gabriel Recovery Ranch LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 10, 2021
- Certification date
- Nov 11, 2021
- Last updated
- Nov 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 273R00000X | Psychiatric Unit | – | – |
Other names
- The Arbor (Doing Business As)
Practice location
1443 County Road 103Georgetown, TX 78626-3854
Phone 512-840-9167 · Fax 512-430-1394
Mailing address
1443 County Road 103Georgetown, TX 78626-3854
Phone 512-840-9167 · Fax 512-430-1394
Authorized official
Valerie A Anderson
Billing & Collections Specialist
5128409167
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