Organization · NPI-2
Goins Place LLC
Community Based Residential Treatment Facility, Mental Illness · Austin, TX
NPI number1740065523
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1740065523
- Entity type
- Organization (NPI-2)
- Legal business name
- Goins Place LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2023
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
5900 Balcones Dr # 14723Austin, TX 78731-4257
Phone 832-659-4668
Mailing address
5900 Balcones Dr # 14723Austin, TX 78731
Phone 832-659-4668
Authorized official
Amanda Goins
Owner
8326594668
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