San Gabriel Recovery Ranch, LLC
Substance Abuse Rehabilitation Facility in Georgetown, TX. Organization (NPI-2).
NPI number1487955811
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1487955811
- Entity type
- Organization (NPI-2)
- Legal business name
- San Gabriel Recovery Ranch, LLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2010
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 3338-3339 | TX | Yes |
Other names
- The Arbor (Doing Business As)
Practice location
1443 County Road 103Georgetown, TX 78626-3854
Phone 512-561-5086 · Fax 512-692-2803
Mailing address
1443 County Road 103Georgetown, TX 78626-3854
Phone 512-561-5086 · Fax 512-692-2803
Authorized official
Catherine S Oliver
Controller
5125610586
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